Venous flaps for coverage of traumatic soft tissue defects of the hand: a systematic review

2017 ◽  
Vol 42 (8) ◽  
pp. 817-822 ◽  
Author(s):  
R. Wharton ◽  
H. Creasy ◽  
C. Bain ◽  
M. James ◽  
A. Fox
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Survival Rates ◽  
Venous Congestion ◽  
Soft Tissue Reconstruction ◽  
Level Of Evidence ◽  
Venous Flaps ◽  
Reconstructive Option ◽  
Tissue Reconstruction ◽  
Trauma Outcome

A PRISMA-guided systematic review was performed of all published cases that detail the use of venous flaps for soft tissue reconstruction of the hand following trauma. Outcome measures examined included flap survival rates, venous congestion, and return to theatre. Database searches were performed on Medline, Embase, AHMED, CINAHL. A total of 381 articles were identified. Data were extracted from 45 articles that met inclusion criteria. A total of 756 flaps were described and their data analysed. A total of 75% of flaps were arterialized and 25% were pure venous flaps. There was no difference in survival rate for arterialized or pure venous flaps. Unplanned return to theatre occurred in 5.3% due to flap compromise or necrosis. Early venous congestion was present in 60% of cases. Total early failure requiring re-operation occurred in 19 flaps (2.5%) of cases. Venous flaps offer a versatile and well-tolerated reconstructive option. Early venous congestion is common, but can be managed non-operatively. Level of evidence: II

Free flaps for lower limb soft tissue reconstruction in children: Systematic review

2019 ◽  
Vol 72 (5) ◽  
pp. 711-728 ◽  
Author(s):  
Karel EY. Claes ◽  
Nathalie A. Roche ◽  
Dries Opsomer ◽  
Edward J. De Wolf ◽  
Casper E. Sommeling ◽  
...  
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Lower Limb ◽  
Free Flaps ◽  
Soft Tissue Reconstruction ◽  
Tissue Reconstruction

scholarly journals Return-to-Play Guidelines After Patellar Instability Surgery Requiring Bony Realignment: A Systematic Review

2020 ◽  
Vol 8 (12) ◽  
pp. 232596712096613
Author(s):  
Rishi Chatterji ◽  
Alex E. White ◽  
Christopher J. Hadley ◽  
Steven B. Cohen ◽  
Kevin B. Freedman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Patellar Instability ◽  
Return To Play ◽  
Patient Comfort ◽  
Tibial Tubercle ◽  
Soft Tissue Reconstruction ◽  
Postoperative Rehabilitation ◽  
Rehabilitation Protocols ◽  
Tissue Reconstruction

Background: Recurrent patellar instability can be treated nonoperatively or surgically, and surgical management may vary based on the causative pathology in the structures surrounding the patella. Although isolated soft tissue reconstruction is among the most common operative treatments, certain patient populations require bony realignment for adequate stabilization. Purpose: To evaluate postoperative guidelines, including return to play and rehabilitation, after bony procedures involving the tibial tubercle for patellar instability. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review on return-to-play guidelines was conducted with studies published from 1997 to 2019 that detailed procedures involving bony realignment by tibial tubercle osteotomies and tibial tubercle transfers with or without soft tissue reconstruction. Exclusion criteria included animal or cadaveric studies, basic science articles, nonsurgical rehabilitation protocols, and patients with mean age <18 years. Studies were assessed for return-to-play criteria, rehabilitation protocols, and bias. Results: Included in the review were 39 studies with a total of 1477 patients and 1598 knees. Mean patient age ranged from 17.5 to 34.0 years, and mean follow-up ranged from 23 to 161 months. All 39 studies described postoperative rehabilitation; however, only 16 studies specifically outlined return-to-play criteria. The most commonly cited return-to-play criterion was quadriceps strength (62.5%). Range of motion (50.0%), physical therapy protocols (18.8%), and radiographic evidence of healing (18.8%) were other cited objective criteria for return-to-play. Four of 16 (25.0%) studies described subjective criteria for return to play, including pain, swelling, and patient comfort and confidence. Of the 11 studies that described a timeline for return to play, the range was between 2 and 6 months. Conclusion: The results revealed that 100% of papers evaluated lacked adequate return-to-play guidelines. Moreover, timelines significantly varied among studies. More clearly defined return-to-play guidelines after tibial tubercle transfer for patellar instability are required.

Clinical application of a free radial artery superficial palmar branch flap for soft-tissue reconstruction of digital injuries

2016 ◽  
Vol 42 (2) ◽  
pp. 151-156 ◽  
Author(s):  
S. H. Lee ◽  
S. J. Cheon ◽  
Y. J. Kim
Keyword(s):  
Soft Tissue ◽  
Clinical Application ◽  
Radial Artery ◽  
Soft Tissue Reconstruction ◽  
Flap Reconstruction ◽  
Level Of Evidence ◽  
Finger Injuries ◽  
Flap Transfer ◽  
Tissue Reconstruction ◽  
Poor Outcomes

Unsuccessful reconstruction of injured fingers can lead to poor outcomes. The aim of this article was to investigate the clinical application of the radial artery superficial palmar branch flap for soft-tissue reconstruction of the finger. We treated 125 patients with various finger injuries who underwent free radial artery superficial palmar branch flap reconstruction between October 2010 and March 2015. There were 46 distal finger injuries, 25 distal finger amputation following failed replantation and 54 palmar digital injuries with tendon, bone or joint exposure requiring soft-tissue reconstruction. Of the 125 cases, 114 flap reconstructions were considered successful. We believe that a free radial artery superficial palmar branch flap transfer is credible and useful for reconstructing various finger injuries. Level of Evidence: III

scholarly journals Free adipose tissue (FAT) graft pooling for severe dead space management

2020 ◽  
Vol 14 (3) ◽  
pp. 293-296
Author(s):  
Gustavo Souza ◽  
Robinson Pires ◽  
Egídio Santana Junior ◽  
Lydia Ferreira ◽  
Richard Yoon ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Free Flaps ◽  
Fat Grafting ◽  
Fat Graft ◽  
Soft Tissue Reconstruction ◽  
Salvage Procedure ◽  
Level Of Evidence ◽  
Space Management ◽  
Extremity Trauma ◽  
Tissue Reconstruction

Complex lower extremity trauma with large soft tissue defects requires early wound coverage to reduce the risk of complications. In particular circumstances, however, local or free flaps may be contraindicated due to local or systemic issues. This study presents a helpful and effective salvage procedure for soft tissue reconstruction that uses autologous fat grafting combined with negative pressure wound therapy. Level of Evidence V; Therapeutic Studies; Expert Opinion.

Combined Direct and Indirect Cerebral Revascularization Using Local and Flow-Through Flaps

2017 ◽  
Vol 34 (02) ◽  
pp. 103-107 ◽  
Author(s):  
Beina Azadgoli ◽  
Hyuma Leland ◽  
Erik Wolfswinkel ◽  
Joshua Bakhsheshian ◽  
Jonathan Russin ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Cerebral Revascularization ◽  
Long Term Results ◽  
Soft Tissue Reconstruction ◽  
Level Of Evidence ◽  
Arterial Bypass ◽  
Radial Forearm ◽  
Tissue Reconstruction ◽  
Indirect Revascularization ◽  
Flow Through

Background Extracranial–intracranial bypass is indicated in ischemic disease such as moyamoya, certain intracranial aneurysms, and other complex neurovascular diseases. In this article, we present our series of local and flow-through flaps for cerebral revascularization as an additional tool to provide direct and indirect revascularization and/or soft tissue coverage. Methods A retrospective review of a prospectively maintained database was performed identifying nine patients. Ten direct arterial bypass procedures with nine indirect revascularization and/or soft tissue reconstruction were performed. Results Indications for arterial bypass included intracranial aneurysm (n = 2) and moyamoya disease (n = 8). Indications for soft tissue transfer included infected cranioplasty (one) and indirect cerebral revascularization (eight). Four flow-through flaps and five pedicled flaps were used including a flow-through radial forearm fasciocutaneous flap (one), flow-through radial forearm fascial flaps (three), and pedicled temporoparietal fascial (TPF) flaps with distal end anastomosis (five). The superficial temporal vessels (seven) and facial vessels (two) were used as the vascular inflow. Arterial bypass was established into the middle cerebral artery (six) and anterior communicating artery (three). There were no intraoperative complications. All flaps survived with no donor-site complications. In one case of flow-through TPF flap, the direct graft failed, but the indirect flap remained vascularized. Conclusion Local and flow-through flaps can improve combined direct and indirect revascularization and provide soft tissue reconstruction. Minimal morbidity has been encountered in early outcomes though long-term results remain under investigation for these combined neurosurgery and plastic surgery procedures. Level of Evidence The level of evidence is IV.

Autologous Fat Transfer and Cell-Based Strategies for Soft Tissue Reconstruction

2014 ◽  
Vol 3 (1) ◽  
pp. 62-69
Author(s):  
Kshemendra Senarath-Yapa ◽  
Rebecca Garza ◽  
Adrian McArdle ◽  
Graham Walmsley ◽  
Michael Hu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Reconstruction ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Tissue Reconstruction
Sign in / Sign up

Export Citation Format

Share Document