Diabetic Foot Reconstruction Using SCIP Flap

2021 ◽  
pp. 1-11
Author(s):  
Warangkana Tonaree ◽  
Hyunsuk Peter Suh ◽  
Joon Pio Hong
Keyword(s):  
Diabetic Foot ◽  
Foot Reconstruction

scholarly journals Limb Salvage and Functional Outcomes following Free Tissue Transfer for the Treatment of Recalcitrant Diabetic Foot Ulcers

2018 ◽  
Vol 35 (02) ◽  
pp. 117-123 ◽  
Author(s):  
Jocelyn Lu ◽  
Michael DeFazio ◽  
Chrisovalantis Lakhiani ◽  
Michel Abboud ◽  
Morgan Penzler ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Limb Salvage ◽  
Diabetic Foot ◽  
Functional Outcomes ◽  
Free Tissue Transfer ◽  
Major Amputation ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Flap Survival ◽  
Foot Reconstruction

Background Recent evidence documenting high success rates following microvascular diabetic foot reconstruction has led to a paradigm shift in favor of more aggressive limb preservation. The primary aim of this study was to examine reconstructive and functional outcomes in patients who underwent free tissue transfer (FTT) for recalcitrant diabetic foot ulcers (DFUs) at our tertiary referral center for advanced limb salvage. Methods Between June 2013 and June 2016, 29 patients underwent lower extremity FTT for diabetic foot reconstruction by the senior author (K.K.E.). In all cases, microsurgical reconstruction was offered as an alternative to major amputation for the management of recalcitrant DFUs. Overall rates of flap survival, limb salvage, and postoperative ambulation were evaluated. The lower extremity functional scale (LEFS) score was used to assess functional outcomes after surgery. Results Overall rates of flap success and lower limb salvage were 93 and 79%, respectively. Flap failure occurred in two patients with delayed microvascular compromise. Seven patients in this series ultimately required below-knee amputation secondary to recalcitrant infection (n = 5), intractable pain (n = 1), and limb ischemia (n = 1). The average interval between FTT and major amputation was 8 months (r, 0.2–15 months). Postoperative ambulation was confirmed in 25 patients (86%) after a mean final follow-up of 25 months (r, 10–48 months). The average LEFS score for all patients was 46 out of 80 points (r, 12–80 points), indicating the ability to ambulate in the community with some limitations. Conclusion FTT for the management of recalcitrant DFUs is associated with high rates of reconstructive success and postoperative ambulation. However, several patients will eventually require major amputation for reasons unrelated to ultimate flap survival. These data should be used to counsel patients regarding the risks, functional implications, and prognosis of microvascular diabetic foot reconstruction.

A rational approach to ischemic and ischemic-diabetic foot reconstruction

1997 ◽  
Vol 4 (4) ◽  
pp. 217-235
Author(s):  
Joseph C. Banis ◽  
John W. Derr ◽  
J. David Richardson
Keyword(s):  
Diabetic Foot ◽  
Rational Approach ◽  
Foot Reconstruction

scholarly journals The Gracilis Muscle Flap: A “Work Horse” Free Flap in Diabetic Foot Reconstruction

2021 ◽  
Vol 10 (2) ◽  
pp. 33-39
Author(s):  
Skanda Shyamsundar ◽  
Ali Adil Mahmud ◽  
Vishal Khalasi ◽  
◽  
◽  
...  
Keyword(s):  
Free Flap ◽  
Diabetic Foot ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Gracilis Muscle Flap ◽  
Foot Reconstruction

Reverse neurocutaneous vs propeller perforator flaps in diabetic foot reconstruction

Injury ◽  
2020 ◽  
Vol 51 ◽  
pp. S16-S21
Author(s):  
Efterpi Demiri ◽  
Antonios Tsimponis ◽  
Leonidas Pavlidis ◽  
Georgia-Alexandra Spyropoulou ◽  
Periclis Foroglou ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Perforator Flaps ◽  
Foot Reconstruction

Diabetic Foot Reconstruction Avoids Amputation

2006 ◽  
Vol 39 (14) ◽  
pp. 16
Author(s):  
BRUCE K. DIXON
Keyword(s):  
Diabetic Foot ◽  
Foot Reconstruction

scholarly journals Innovations in diabetic foot reconstruction using supermicrosurgery

2016 ◽  
Vol 32 ◽  
pp. 275-280 ◽  
Author(s):  
Hyun Suk Suh ◽  
Tae Suk Oh ◽  
Joon Pio Hong
Keyword(s):  
Diabetic Foot ◽  
Foot Reconstruction

A Two-Stage Percutaneous Approach to Charcot Diabetic Foot Reconstruction

2010 ◽  
Vol 49 (6) ◽  
pp. 517-522 ◽  
Author(s):  
Bradley M. Lamm ◽  
H. David Gottlieb ◽  
Dror Paley
Keyword(s):  
Diabetic Foot ◽  
Two Stage ◽  
Percutaneous Approach ◽  
Foot Reconstruction

Beaming the Columns for Charcot Diabetic Foot Reconstruction: A Retrospective Analysis

2011 ◽  
Vol 50 (2) ◽  
pp. 182-189 ◽  
Author(s):  
William P. Grant ◽  
Silvia Garcia-Lavin ◽  
Roy Sabo
Keyword(s):  
Retrospective Analysis ◽  
Diabetic Foot ◽  
Foot Reconstruction
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