Postoperative negative pressure therapy significantly reduces flap complications in distally based peroneus brevis flaps: Experiences from 74 cases
| Autor: | Holger Erne, Daniel Schmauss, Verena Schmauss, Denis Ehrl |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Soft Tissue Injuries Peroneus brevis muscle flap Skin graft necrosis 030230 surgery Surgical Flaps Young Adult 03 medical and health sciences 0302 clinical medicine Complete flap loss Germany Clinical endpoint medicine Humans Ankle Injuries Postoperative Period Aged Retrospective Studies General Environmental Science Wound Healing business.industry Venous drainage Middle Aged Plastic Surgery Procedures Surgery Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis General Earth and Planetary Sciences Female Ankle Complication Peroneus brevis business Negative-Pressure Wound Therapy Leg Injuries |
| Zdroj: | Injury. 47:1288-1292 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2016.02.017 |
| Popis: | The distally based peroneus brevis muscle flap is a valuable therapeutic option for coverage of tissue defects around the ankle and the distal lower leg. However, the rate of postoperative flap complications requiring revisional surgery is high due to an impaired venous drainage and oedema formation. The purpose of this study was to evaluate if postoperative negative pressure therapy is able to reduce flap complications.From April 2010 until March 2014, we treated 74 patients with distally based peroneus brevis muscle flaps for defect coverage at the lower leg. In four cases, an osteomuscular composite flap has been used to treat partly stability-relevant bone defects. In 43 cases, negative pressure therapy (75mmHg, continuous) with a circular dressing was initiated after the flap procedure for 7 days. In 31 cases no negative pressure therapy was initiated. We retrospectively analysed those two groups of patients. The primary endpoint was the incidence of flap complications with a need for revision surgery, which were classified in three grades.The group treated with negative pressure therapy had significantly less flap complications when compared to the control group (p |
| Databáze: | OpenAIRE |
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