scholarly journals Reconstruction of Foot and Ankle Defects Using Free Lateral Arm Flap: A Retrospective Review of Its Versatile Application

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jong-Ho Kim ◽  
Taekeun Yoon ◽  
Joseph Kyu-hyung Park ◽  
Seokchan Eun
Keyword(s):  
Soft Tissue ◽  
Retrospective Review ◽  
Foot And Ankle ◽  
Discrimination Test ◽  
Common Cause ◽  
Myocutaneous Flaps ◽  
Lateral Arm Flap ◽  
Defect Sites ◽  
Clinical Conditions ◽  
Free Lateral Arm Flap

Background. Successful reconstruction of the feet and ankles remains challenging due to limited quantities of soft tissue and laxity. The free lateral arm flap (LAF) is an alternative to conventional flaps and has been widely used due to advancements in its flap characteristics. This study is aimed at utilizing the advantages of this flap to validate its increased applications for foot and ankle defects. Methods. Twenty patients with various LAF types between May 2011 and May 2020 were enrolled. Clinical data was retrospectively collected, and defect sites were classified according to the subunit principle. We utilized various LAF types, such as LAFs with sensate, extended, osteomyocutaneous, or myocutaneous flaps, as necessary. A two-point discrimination test was performed, and results were statistically compared between flaps. Results. Among the diverse etiologies of skin defects, chronic inflammation was the most common cause of defects. Various LAF types, including LAFs with fasciocutaneous, extended fasciocutaneous, musculocutaneous, and osteomyocutaneous flaps, were used. The versatility of free LAF helped successfully cover various defects in all cases. Results of the two-point discrimination test were statistically significant between groups. Conclusions. Free LAF is a unique soft tissue free flap that is more versatile than other flaps, allowing flaps to be continuously modified and applied to various foot and ankle defects under different clinical conditions.

Free Lateral Arm Flap for 1-Stage Reconstruction of Soft Tissue and Composite Defects of the Hand

2007 ◽  
Vol 58 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Betul Gozel Ulusal ◽  
Yu-Te Lin ◽  
Ali Engin Ulusal ◽  
Chih-Hung Lin
Keyword(s):  
Soft Tissue ◽  
Lateral Arm Flap ◽  
Free Lateral Arm Flap

Reasons for hospitalization and factors of mortality in patients with Parkinson's disease in the Philippines

2021 ◽  
Author(s):  
Adrian I Espiritu ◽  
Ma. Margarita Anna C Brillantes ◽  
Allister Vincent G Layog ◽  
Roland Dominic G Jamora
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Urinary Tract ◽  
Soft Tissue ◽  
Retrospective Review ◽  
Medical Records ◽  
Tertiary Hospital ◽  
The Philippines ◽  
Soft Tissue Infections ◽  
Common Cause

Aim: We aimed to determine the reasons for hospitalizations and factors of mortality of Filipino Parkinson's disease (PD) patients in a tertiary hospital. Methods: We conducted a retrospective review of medical records of PD patients admitted to our institution between 2016 and 2018. Demographic and clinical data were analyzed. Results: We included 166 PD patients. The most common cause of admission was infectious (pneumonia, urinary tract, and skin-soft tissue infections) (n = 65, 39.2%). The most common cause of mortality was sepsis (n = 9, 5.4%). Renal comorbidity was a significant factor of mortality (OR: 3.67, 95% CI: 1.11–12.12; p = 0.033). Conclusion: Interventions designed to reduce the risk of complications in PD patients should be prioritized to potentially decrease the probability of eventual hospitalization.

The versatility of the free lateral arm flap in head and neck soft tissue reconstruction: clinical experience of 210 cases

2008 ◽  
Vol 61 (2) ◽  
pp. 172-179 ◽  
Author(s):  
Jose Carlos Marques Faria ◽  
Mônica Lucia Rodrigues ◽  
Gean Paulo Scopel ◽  
Luiz Paulo Kowalski ◽  
Marcus Castro Ferreira
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Clinical Experience ◽  
Soft Tissue Reconstruction ◽  
Lateral Arm Flap ◽  
Tissue Reconstruction ◽  
Free Lateral Arm Flap

Soft-Tissue And Bone Tumors About The Foot And Ankle

1994 ◽  
Vol 13 (4) ◽  
pp. 909-938 ◽  
Author(s):  
Arthur K. Walling ◽  
Seth I. Gasser
Keyword(s):  
Soft Tissue ◽  
Bone Tumors ◽  
Foot And Ankle

scholarly journals Genomic Analysis of Cutibacterium acnes Strains Isolated from Prosthetic Joint Infections

2021 ◽  
Vol 9 (7) ◽  
pp. 1500
Author(s):  
Llanos Salar-Vidal ◽  
Yvonne Achermann ◽  
John-Jairo Aguilera-Correa ◽  
Anja Poehlein ◽  
Jaime Esteban ◽  
...  
Keyword(s):  
Normal Skin ◽  
Genomic Analysis ◽  
Healthy Skin ◽  
Common Cause ◽  
Good Outcome ◽  
Joint Infections ◽  
Prosthetic Joint ◽  
Prosthetic Joint Infections ◽  
Cutibacterium Acnes ◽  
Clinical Conditions

Cutibacterium acnes is a common cause of prosthetic joint infections (PJIs). The C. acnes population can be divided into six main phylotypes (IA1, IA2, IB, IC, II and III) that are associated with different clinical conditions and normal skin. A single-locus sequence typing (SLST) scheme can distinguish ten main SLST types: A-E (all IA1), F (IA2), G (IC), H (IB), K (II), L (III). We genome-sequenced and compared 16 strains of C. acnes isolated from healthy skin (n = 4) and PJIs (n = 12), including six PJI cases with a good outcome (four shoulder PJIs, one hip PJI, one knee PJI) and six with infection relapse (three shoulder PJIs, three hip PJIs). The sequenced strains belonged to four different phylotypes (IA1, IA2, IB and II) and seven different SLST types. All five type IB strains (all SLST type H1) were PJI isolates (three hip PJIs, two shoulder PJIs), and four of these caused infection relapse (three hip PJIs, one shoulder PJI). Isolates from PJI cases with a good outcome belonged to three different phylotypes (IA, IB, II). Interestingly, four strains (three strains from PJI cases with good outcome and one strain from healthy skin) contained a linear plasmid; these strains belonged to different SLST types (A1, C1, F4, H1) and were isolated in three different hospitals. This study suggests that type IB strains have the potential to cause infection relapse, in particular regarding hip PJIs. Moreover, our study revealed that strains belonging to the same SLST type can differ in their accessory genome in different geographic locations, indicative of microevolution.

Comparison of flap reconstruction for soft tissue sarcomas of the foot and ankle

2021 ◽  
Author(s):  
Katherine E. Mallett ◽  
Matthew T. Houdek ◽  
Rachel L. Honig ◽  
Karim Bakri ◽  
Peter S. Rose ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcomas ◽  
Flap Reconstruction ◽  
Foot And Ankle

scholarly journals Validation of the Single Assessment Numeric Evaluation (SANE) Score as an Outcome Measure as Compared to the revised Foot Function Index (rFFI)

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0015 ◽  
Author(s):  
Nicholas Bellas ◽  
Carl Cirino ◽  
Mark Cote ◽  
Vinayak Sathe ◽  
Lauren Geaney
Keyword(s):  
Soft Tissue ◽  
Plantar Fasciitis ◽  
Outcome Measure ◽  
Social Issues ◽  
Poor Correlation ◽  
Foot And Ankle ◽  
Soft Tissue Trauma ◽  
Foot Function ◽  
Tissue Trauma ◽  
Question Survey

Category: Other Introduction/Purpose: Patient reported outcome measures serve as an invaluable tool in both the clinical and research setting to monitor a patient’s condition and efficacy of treatments over time. We aim to validate the Single Assessment Numeric Evaluation (SANE) score for disorders of the lower extremity using the revised Foot Function Index (rFFI) as a reference. The rFFI is a validated 34-question survey tool utilized in the evaluation of patients with foot and ankle related pathology [1-4], while the SANE score consists of a patient’s single numerical rating of the status of their extremity [5]. Given its ease of use and prior validation with shoulder pathology, the SANE score has potential as a practical and effective outcome measure in foot and ankle pathology. Methods: Patient age, sex, visit diagnosis by ICD-10 code, SANE score, and FFI score were collected retrospectively from 218 initial patient encounters between January 2015 through July 2017. Patients were included if they were 18 years and older presenting for outpatient evaluation to the University of Connecticut Foot and Ankle Orthopedic Department. Patients were excluded if they had incomplete SANE or rFFI data. The rFFI is a 34-question survey with subscales including pain (7 questions), stiffness (7 questions), activity limitation (3 questions), difficulty (11 questions), and social issues (6 questions). Results of the two scores were compared using the Pearson or Spearman correlation coefficients with correlation defined as excellent (>0.7), excellent-good (0.61-0.7), good (0.4-0.6), or poor (0.2-0.39) [6]. Diagnoses were categorized into 9 subgroups that were analyzed including: forefoot, plantar fasciitis, arthritis, deformity, fracture, tendinitis, OCD, soft tissue trauma and “other”. Results: The SANE score had good correlation with the overall rFFI score (r=0.51, p<0.001). When comparing the SANE score to the rFFI subscores, there was good correlation with pain (r=0.42, p<0.001), good correlation with stiffness (r=0.44, p<0.001), poor correlation with activity (r=0.36, p<0.001), good correlation with difficulty (r=0.52, p<0.001), and poor correlation with social issues (r=0.39, p<0.001). Sub-analysis showed an excellent to good correlation between SANE and rFFI score for forefoot pathology (r=0.67, p<0.001), “other” pathologies (r=0.65, p<0.001), and plantar fasciitis (r=0.63, p<0.016), good correlation for arthritis (r=0.49, p<0.038), deformity (r=0.60, p<0.010), fracture (r=0.50, p<0.004), and tendinitis (r=0.47, p<0.017), and no significant correlation for OCD of the talus (r=0.56, p<0.145) and soft tissue trauma (r=0.19, p<0.319). Conclusion: The SANE score demonstrates good correlation with the rFFI overall. However, its correlation varies depending on the subscore of the rFFI and the presenting pathology of the patient. The SANE score correlates best with the rFFI pain, stiffness, and difficulty subscore, and poorly with activity and social issues. In addition, the SANE score correlates best with forefoot pathologies, plantar fasciitis, and “other” pathologies but does not correlate with patients presenting for OCD of the talus or soft tissue trauma.

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