Successful Microsurgical Reconstruction for Limb Salvage in a COVID-19-Positive Patient: A Case Report
| Autor: | Jonathan A. Schwitzer, Christopher M. Fleury, Brian L. Chang, Derek L. Masden, Robert P. Slamin, Arjun Kanuri |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
education.field_of_study RD1-811 Coronavirus disease 2019 (COVID-19) business.industry Limb salvage Population limb salvage Soft tissue microsurgery 030230 surgery Anastomosis Positive patient medicine.disease Thrombosis Surgery 03 medical and health sciences 0302 clinical medicine covid-19 030220 oncology & carcinogenesis Orthopedic surgery Medicine business education |
| Zdroj: | Journal of Reconstructive Microsurgery Open, Vol 06, Iss 01, Pp e40-e44 (2021) |
| ISSN: | 2377-0821 2377-0813 |
| DOI: | 10.1055/s-0041-1729955 |
| Popis: | Background Although the novel 2019 coronavirus (COVID-19) pandemic delayed elective microsurgical reconstruction cases, traumatic injuries requiring microsurgical reconstruction for limb salvage still presented to our hospital. Recent data suggests a link between COVID-19 and increased venous and arterial thromboembolic events, theoretically increasing the risk of microvascular anastomotic thrombosis and flap failure. Methods We provide a single case report of microsurgical limb salvage in a COVID-19-positive patient with a Gustilo IIIb open tibial-fibular fracture. Results A free latissimus dorsi muscle flap was used to successfully cover a Gustilo IIIb open tibial-fibular fracture with exposed orthopedic hardware and large soft tissue defect, with 5-month follow-up demonstrating a well-healed flap allowing for preserved ambulation. Conclusion Although there is a theoretical increased incidence of venous and arterial thrombotic microvascular failure in COVID-19-positive patients, microsurgical reconstruction is occasionally the lone option for salvage. Microsurgical reconstruction in this population must be carefully considered, meticulously executed, and closely monitored. |
| Databáze: | OpenAIRE |
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