A reconstructive algorithm after thigh soft tissue sarcoma resection including predictors of free flap reconstruction✰

2019 ◽  
Vol 72 (8) ◽  
pp. 1304-1315 ◽  
Author(s):  
Sarah M. Elswick ◽  
Peter Wu ◽  
Arya A. Arkhavan ◽  
Vanessa E. Molinar ◽  
Anita T. Mohan ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Reconstructive Algorithm

Timing of Soft Tissue Reconstruction

2020 ◽  
pp. 57-62
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Free Flap ◽  
Soft Tissue Reconstruction ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Fracture Union ◽  
Patient Factors ◽  
Tissue Reconstruction ◽  
Wound Excision

Soft tissue cover of a meticulously and comprehensively excised (debrided) wound is the cornerstone of achieving infection-free fracture union. Planning of the soft tissue reconstruction should ideally occur at the time of wound excision. Definitive soft tissue reconstruction should be performed within 72 hours of the injury unless precluded by patient factors, and at the same time as internal fixation of the fracture. Free flap reconstruction is ideally performed on scheduled lists in specialist orthoplastic centres.

scholarly journals Full-Thickness Skin Grafts for Coverage of the Pedicle in Partial Second Toe Pulp Free Flap

2021 ◽  
Vol 17 (3) ◽  
pp. 237-241
Author(s):  
Won Jin Cha ◽  
Jeong Hwa Seo ◽  
Jeeyoon Kim ◽  
Sung-No Jung ◽  
Bommie Florence Seo
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Donor Site ◽  
Skin Grafts ◽  
Full Thickness ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Graft Area

Pedicle coverage during free flap reconstruction of the digit commonly presents complicated issues. As the finger is a cylindrical unit with small volume, it is difficult to secure ample soft tissue for relaxed coverage of the pedicle. We have applied full-thickness skin grafts (FTSGs) to loosely cover the pedicle of the free flap of the fingertip and report preliminary results. Seven patients who received free toe pulp flap and FTSG for soft tissue coverage of the pedicle were analyzed. Intraoperative parameters collected were defect, flap and graft area size and donor site. Patients were observed postoperatively for up to 2 months for graft take, necrosis, digit contour, and donor site complications. The average area of the free flap was 2.39±1.03 cm<sup>2</sup> and the average graft area was 1.37±1.06 cm<sup>2</sup>. The FTSG survived without sloughing or necrosis in six patients. Early epithelial sloughing with dermis take was noted in one patient who healed with dressings. The pedicle and graft portion showed bulging immediately after the operation but decreased to normal contour by 4 weeks. FTSG is an option that can be safely used as a method of pedicle coverage during free flap reconstruction of digits.

Factors to Consider When Deciding on the Type of Free-Flap Reconstruction of Head and Neck Soft Tissue Defects

ORL ◽  
2017 ◽  
Vol 79 (4) ◽  
pp. 230-238 ◽  
Author(s):  
Mohammed Thabet Aladimi ◽  
Bo Han ◽  
Chunjie Li ◽  
Hussein Helal ◽  
Zhenjie Gao ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Soft Tissue Defects ◽  
Free Flap Reconstruction ◽  
Tissue Defects

scholarly journals Fronto-parietal Osteomyelitis managed by Bipedicled Bucket Handle scalp flap

2018 ◽  
Vol 5 (6) ◽  
pp. 2364 ◽  
Author(s):  
Pawan K. Dixit ◽  
Divya Narain Upadhyay
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Soft Tissue Reconstruction ◽  
Rare Clinical Entity ◽  
Technical Expertise ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Scalp Defect ◽  
Tissue Reconstruction ◽  
Bucket Handle

Osteomyelitis of skull is rare clinical entity in today’s world. Mortality from complications from skull osteomyelitis is 20-40 %. We report a 60-year-old patient presented with fronto-parietal osteomyelitis with orbital extension, with known cardiac and pulmonary disease. Large bipedicled bucket handle flap was used for soft tissue reconstruction. Though free flap reconstruction is ideal for large scalp defect, it requires technical expertise and patient’s fitness for surgery. Bipedicled bucket handle flap can be successfully used for large scalp defect reconstruction in patients in which free flap reconstruction is not possible.

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