Quadruple-component superficial circumflex iliac artery perforator (SCIP) flap: A chimeric SCIP flap for complex ankle reconstruction of an exposed artificial joint after total ankle arthroplasty.
Identifieur interne : 000C10 ( Main/Exploration ); précédent : 000C09; suivant : 000C11Quadruple-component superficial circumflex iliac artery perforator (SCIP) flap: A chimeric SCIP flap for complex ankle reconstruction of an exposed artificial joint after total ankle arthroplasty.
Auteurs : Takumi Yamamoto (chirurgien) [Japon] ; Takafumi Saito [Japon] ; Ryohei Ishiura [Japon] ; Takuya Iida [Japon]Source :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2016.
Descripteurs français
- KwdFr :
- Arthroplastie de remplacement de la cheville (effets indésirables), Artère iliaque (), Cheville (), Défaillance de prothèse, Femelle, Humains, Lambeau perforant (), Microchirurgie, Polyarthrite rhumatoïde (), Procédures de chirurgie reconstructive (), Prothèse articulaire (effets indésirables), Sujet âgé.
- MESH :
English descriptors
- KwdEn :
- MESH :
- adverse effects : Arthroplasty, Replacement, Ankle, Joint Prosthesis.
- blood supply : Perforator Flap.
- methods : Reconstructive Surgical Procedures.
- surgery : Ankle, Arthritis, Rheumatoid, Iliac Artery.
- Aged, Female, Humans, Microsurgery, Prosthesis Failure.
Abstract
Total ankle arthroplasty (TAA) is becoming popular in patients with rheumatoid arthritis (RA)-associated ankle joint degeneration. However, ankle wound complications can occur after TAA, which sometimes requires challenging reconstruction due to anatomical complexity of the ankle. Superficial circumflex iliac artery (SCIA) perforator (SCIP) flap has been reported to be useful for various reconstructions, but no case has been reported regarding a chimeric SCIP flap for complex ankle reconstruction. We report a case of complex ankle defect successfully reconstructed with a free quadruple-component chimeric SCIP flap. A 73-year-old female patient with RA underwent TAA, and suffered from an extensive ankle soft tissue defect (13 × 5 cm) with exposure of the implanted artificial joint and the extensor tendons. A chimeric SCIP flap was raised based on the deep branch and the superficial branch of the SCIA, which included chimeric portions of the sartorius muscle, the deep fascia, the inguinal lymph node (ILN), and the skin/fat. The flap was transferred to the recipient ankle. The sartorius muscle was used to cover the artificial joint, the deep fascia to reconstruct the extensor retinaculum, the ILN to prevent postoperative lymphedema, and the adiposal tissue to put around the extensor tendons for prevention of postoperative adhesion. Postoperatively, the patient could walk by herself without persistent leg edema or bowstringing of the extensor tendons, and was satisfied with the concealable donor scar. Although further studies are required to confirm efficacy, multicomponent chimeric SCIP has a potential to be a useful option for complex defects of the ankle.
DOI: 10.1016/j.bjps.2016.06.010
PubMed: 27423250
Affiliations:
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Electronic address: tyamamoto-tky@umin.ac.jp.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo 130-0022, Japan; Department of Plastic and Reconstructive Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName><placeName><settlement type="city">Tokyo</settlement><region type="province">Région de Kantō</region></placeName><orgName type="university" n="3">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Saito, Takafumi" sort="Saito, Takafumi" uniqKey="Saito T" first="Takafumi" last="Saito">Takafumi Saito</name><affiliation wicri:level="4"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Ishiura, Ryohei" sort="Ishiura, Ryohei" uniqKey="Ishiura R" first="Ryohei" last="Ishiura">Ryohei Ishiura</name><affiliation wicri:level="4"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name><affiliation wicri:level="4"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Ankle (surgery)</term><term>Arthritis, Rheumatoid (surgery)</term><term>Arthroplasty, Replacement, Ankle (adverse effects)</term><term>Female</term><term>Humans</term><term>Iliac Artery (surgery)</term><term>Joint Prosthesis (adverse effects)</term><term>Microsurgery</term><term>Perforator Flap (blood supply)</term><term>Prosthesis Failure</term><term>Reconstructive Surgical Procedures (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arthroplastie de remplacement de la cheville (effets indésirables)</term><term>Artère iliaque ()</term><term>Cheville ()</term><term>Défaillance de prothèse</term><term>Femelle</term><term>Humains</term><term>Lambeau perforant ()</term><term>Microchirurgie</term><term>Polyarthrite rhumatoïde ()</term><term>Procédures de chirurgie reconstructive ()</term><term>Prothèse articulaire (effets indésirables)</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Arthroplasty, Replacement, Ankle</term><term>Joint Prosthesis</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Perforator Flap</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Arthroplastie de remplacement de la cheville</term><term>Prothèse articulaire</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Ankle</term><term>Arthritis, Rheumatoid</term><term>Iliac Artery</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Microsurgery</term><term>Prosthesis Failure</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Artère iliaque</term><term>Cheville</term><term>Défaillance de prothèse</term><term>Femelle</term><term>Humains</term><term>Lambeau perforant</term><term>Microchirurgie</term><term>Polyarthrite rhumatoïde</term><term>Procédures de chirurgie reconstructive</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Total ankle arthroplasty (TAA) is becoming popular in patients with rheumatoid arthritis (RA)-associated ankle joint degeneration. However, ankle wound complications can occur after TAA, which sometimes requires challenging reconstruction due to anatomical complexity of the ankle. Superficial circumflex iliac artery (SCIA) perforator (SCIP) flap has been reported to be useful for various reconstructions, but no case has been reported regarding a chimeric SCIP flap for complex ankle reconstruction. We report a case of complex ankle defect successfully reconstructed with a free quadruple-component chimeric SCIP flap. A 73-year-old female patient with RA underwent TAA, and suffered from an extensive ankle soft tissue defect (13 × 5 cm) with exposure of the implanted artificial joint and the extensor tendons. A chimeric SCIP flap was raised based on the deep branch and the superficial branch of the SCIA, which included chimeric portions of the sartorius muscle, the deep fascia, the inguinal lymph node (ILN), and the skin/fat. The flap was transferred to the recipient ankle. The sartorius muscle was used to cover the artificial joint, the deep fascia to reconstruct the extensor retinaculum, the ILN to prevent postoperative lymphedema, and the adiposal tissue to put around the extensor tendons for prevention of postoperative adhesion. Postoperatively, the patient could walk by herself without persistent leg edema or bowstringing of the extensor tendons, and was satisfied with the concealable donor scar. Although further studies are required to confirm efficacy, multicomponent chimeric SCIP has a potential to be a useful option for complex defects of the ankle.</div></front></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement><orgName><li>Université de Tokyo</li></orgName></list><tree><country name="Japon"><region name="Région de Kantō"><name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto (chirurgien)</name></region><name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name><name sortKey="Ishiura, Ryohei" sort="Ishiura, Ryohei" uniqKey="Ishiura R" first="Ryohei" last="Ishiura">Ryohei Ishiura</name><name sortKey="Saito, Takafumi" sort="Saito, Takafumi" uniqKey="Saito T" first="Takafumi" last="Saito">Takafumi Saito</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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