Use of tissue expansion in revision of unhealed below-knee amputation stumps
| Autor: | Jean-Paul Pailheret, E Watier, Jean-Louis Husson, Olivier Manise, Nicolas Georgieu |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty medicine.medical_treatment Tissue Expansion Skin sensitivity Lower limb Postoperative Complications medicine Humans Knee Below knee amputation Treatment Failure Tissue expander Leg business.industry Amputation Stumps Mean age General Medicine Staphylococcal Infections medicine.disease Surgery Female business Hospital stay Tissue expansion Purpura fulminans |
| Zdroj: | Scandinavian journal of plastic and reconstructive surgery and hand surgery. 35(2) |
| ISSN: | 0284-4311 |
| Popis: | When local tissue is insufficient for the revision of unhealed below-knee stumps tissue expansion offers an interesting alternative for local coverage. We used this method in seven patients (five men, two women; mean age 30 years) who had had below-knee amputations, six of them after injury to a healthy limb and one for purpura fulminans. Ten tissue expanders were inflated slowly and intermittently either weekly or twice weekly depending on the patients. The mean expansion period was 92 days. Mean hospital stay for the two operations was 5.8 (range 4-9) and 7.6 (range 6-10) days, respectively. Using subjective and objective criteria, functional outcome was excellent in five patients and good in one. Expansion failed in one because of infection. Expanded skin flaps allow good cover with a minimal scar area in appropriate cases, while preserving the skin sensitivity and length of the tibial shaft. |
| Databáze: | OpenAIRE |
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