A comparison of thinning and conventional free-flap transfers to the lowerextremity

Citation
H. Ohjimi et al., A comparison of thinning and conventional free-flap transfers to the lowerextremity, PLAS R SURG, 105(2), 2000, pp. 558-566
Citations number
21
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery,"Medical Research Diagnosis & Treatment
Journal title
PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN journal
0032-1052 → ACNP
Volume
105
Issue
2
Year of publication
2000
Pages
558 - 566
Database
ISI
SICI code
0032-1052(200002)105:2<558:ACOTAC>2.0.ZU;2-J
Abstract
This study compares the application of conventional free flaps and thinning flaps to the lower extremities. Thirty patients whose skin and soft tissue of the lower extremities had been reconstructed were divided into two grou ps: a conventional nap group, reconstructed using conventional free flaps ( 15 cases), and a thinning flap group, reconstructed using thinning flaps (1 5 cases). Post operative complications, long-term results, and revisional s urgery were studied in the two groups. Although survival after surgery was the same in both, in the conventional nap group, 11 patients required secon dary revisional surgery, the excessive bulk of the flap resulting in poor a esthetics and difficulty in wearing shoes. The conventional flap group also required longer treatment. In the thinning flap group, only 5 of 15 patien ts received secondary revisional surgery. As a reconstruction material for the lower extremities, thinning flaps are both aesthetically and functional ly superior to conventional bulky flaps.