[The distally based adipofascial sural artery flap for the reconstruction of distal lower extremity defects].
Identifieur interne : 001C37 ( PubMed/Corpus ); précédent : 001C36; suivant : 001C38[The distally based adipofascial sural artery flap for the reconstruction of distal lower extremity defects].
Auteurs : K. Schmidt ; M. Jakubietz ; P. Harenberg ; B M Holzapfel ; M. Rudert ; R. Meffert ; R. JakubietzSource :
- Operative Orthopadie und Traumatologie [ 1439-0981 ] ; 2013.
English descriptors
- KwdEn :
- Adult, Arteries (transplantation), Fascia (transplantation), Female, Humans, Leg Injuries (surgery), Male, Perforator Flap (transplantation), Reconstructive Surgical Procedures (instrumentation), Reconstructive Surgical Procedures (methods), Soft Tissue Injuries (surgery), Subcutaneous Fat (transplantation), Treatment Outcome.
- MESH :
- instrumentation : Reconstructive Surgical Procedures.
- methods : Reconstructive Surgical Procedures.
- surgery : Leg Injuries, Soft Tissue Injuries.
- transplantation : Arteries, Fascia, Perforator Flap, Subcutaneous Fat.
- Adult, Female, Humans, Male, Treatment Outcome.
Abstract
Problematic tissue defects in the distal one-third of the lower leg represent a special challenge for the operative therapy. The distally based adipofascial sural artery flap is a safe and effective modification of the classical fasciocutaneous sural artery flap technique and makes the reconstruction in this problematic area more feasible. The surgical aim is soft tissue reconstruction with local tissue avoiding free tissue transfer.
DOI: 10.1007/s00064-012-0203-6
PubMed: 23525492
Links to Exploration step
pubmed:23525492Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[The distally based adipofascial sural artery flap for the reconstruction of distal lower extremity defects].</title><author><name sortKey="Schmidt, K" sort="Schmidt, K" uniqKey="Schmidt K" first="K" last="Schmidt">K. Schmidt</name><affiliation><nlm:affiliation>Division of plastic and aesthetic surgery and handsurgery, Department of traumatology, Julius Maximilians Universtity of Würzburg, Oberduerrbacher Str. 6, 97080, Würzburg, Deutschland. Schmidt_k@klinik.uni-wuerzburg.de</nlm:affiliation></affiliation></author><author><name sortKey="Jakubietz, M" sort="Jakubietz, M" uniqKey="Jakubietz M" first="M" last="Jakubietz">M. Jakubietz</name></author><author><name sortKey="Harenberg, P" sort="Harenberg, P" uniqKey="Harenberg P" first="P" last="Harenberg">P. Harenberg</name></author><author><name sortKey="Holzapfel, B M" sort="Holzapfel, B M" uniqKey="Holzapfel B" first="B M" last="Holzapfel">B M Holzapfel</name></author><author><name sortKey="Rudert, M" sort="Rudert, M" uniqKey="Rudert M" first="M" last="Rudert">M. Rudert</name></author><author><name sortKey="Meffert, R" sort="Meffert, R" uniqKey="Meffert R" first="R" last="Meffert">R. Meffert</name></author><author><name sortKey="Jakubietz, R" sort="Jakubietz, R" uniqKey="Jakubietz R" first="R" last="Jakubietz">R. Jakubietz</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23525492</idno><idno type="pmid">23525492</idno><idno type="doi">10.1007/s00064-012-0203-6</idno><idno type="wicri:Area/PubMed/Corpus">001C37</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001C37</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[The distally based adipofascial sural artery flap for the reconstruction of distal lower extremity defects].</title><author><name sortKey="Schmidt, K" sort="Schmidt, K" uniqKey="Schmidt K" first="K" last="Schmidt">K. Schmidt</name><affiliation><nlm:affiliation>Division of plastic and aesthetic surgery and handsurgery, Department of traumatology, Julius Maximilians Universtity of Würzburg, Oberduerrbacher Str. 6, 97080, Würzburg, Deutschland. Schmidt_k@klinik.uni-wuerzburg.de</nlm:affiliation></affiliation></author><author><name sortKey="Jakubietz, M" sort="Jakubietz, M" uniqKey="Jakubietz M" first="M" last="Jakubietz">M. Jakubietz</name></author><author><name sortKey="Harenberg, P" sort="Harenberg, P" uniqKey="Harenberg P" first="P" last="Harenberg">P. Harenberg</name></author><author><name sortKey="Holzapfel, B M" sort="Holzapfel, B M" uniqKey="Holzapfel B" first="B M" last="Holzapfel">B M Holzapfel</name></author><author><name sortKey="Rudert, M" sort="Rudert, M" uniqKey="Rudert M" first="M" last="Rudert">M. Rudert</name></author><author><name sortKey="Meffert, R" sort="Meffert, R" uniqKey="Meffert R" first="R" last="Meffert">R. Meffert</name></author><author><name sortKey="Jakubietz, R" sort="Jakubietz, R" uniqKey="Jakubietz R" first="R" last="Jakubietz">R. Jakubietz</name></author></analytic><series><title level="j">Operative Orthopadie und Traumatologie</title><idno type="eISSN">1439-0981</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Arteries (transplantation)</term><term>Fascia (transplantation)</term><term>Female</term><term>Humans</term><term>Leg Injuries (surgery)</term><term>Male</term><term>Perforator Flap (transplantation)</term><term>Reconstructive Surgical Procedures (instrumentation)</term><term>Reconstructive Surgical Procedures (methods)</term><term>Soft Tissue Injuries (surgery)</term><term>Subcutaneous Fat (transplantation)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Reconstructive Surgical Procedures</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>Leg Injuries</term><term>Soft Tissue Injuries</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Arteries</term><term>Fascia</term><term>Perforator Flap</term><term>Subcutaneous Fat</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Problematic tissue defects in the distal one-third of the lower leg represent a special challenge for the operative therapy. The distally based adipofascial sural artery flap is a safe and effective modification of the classical fasciocutaneous sural artery flap technique and makes the reconstruction in this problematic area more feasible. The surgical aim is soft tissue reconstruction with local tissue avoiding free tissue transfer.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23525492</PMID><DateCreated><Year>2013</Year><Month>04</Month><Day>10</Day></DateCreated><DateCompleted><Year>2013</Year><Month>11</Month><Day>27</Day></DateCompleted><DateRevised><Year>2013</Year><Month>04</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1439-0981</ISSN><JournalIssue CitedMedium="Internet"><Volume>25</Volume><Issue>2</Issue><PubDate><Year>2013</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Operative Orthopadie und Traumatologie</Title><ISOAbbreviation>Oper Orthop Traumatol</ISOAbbreviation></Journal><ArticleTitle>[The distally based adipofascial sural artery flap for the reconstruction of distal lower extremity defects].</ArticleTitle><Pagination><MedlinePgn>162-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00064-012-0203-6</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Problematic tissue defects in the distal one-third of the lower leg represent a special challenge for the operative therapy. The distally based adipofascial sural artery flap is a safe and effective modification of the classical fasciocutaneous sural artery flap technique and makes the reconstruction in this problematic area more feasible. The surgical aim is soft tissue reconstruction with local tissue avoiding free tissue transfer.</AbstractText><AbstractText Label="INDICATIONS" NlmCategory="METHODS">Complex or chronic wounds (maximum width of 8 cm) of the distal lower leg with exposed bone, joints, tendons, and/or neurovascular structures, especially in cases of missing skin perforators.</AbstractText><AbstractText Label="CONTRAINDICATIONS" NlmCategory="METHODS">Arterial vascular disease (stage III-IV), especially peroneal artery occlusion. Postthrombotic syndrome with occlusion of the small saphenous vein. Chronic lymphedema.</AbstractText><AbstractText Label="SURGICAL TECHNIQUE" NlmCategory="METHODS">Preparation of the vascular pedicle of the distally based flap (including small saphenous vein, sural artery and nerve), the adjacent crural fascia and the subcutaneous fat without a skin island. The pivot point is about 6 cm cranial to the malleolus lateralis. The flap can be raised proximally up to the heads of the gastrocnemius muscle. After harvesting the flap there will be a change in blood flow direction in the small saphenous vein. The donor site can be closed primarily. The flap is covered with meshed split skin graft at the end of surgery.</AbstractText><AbstractText Label="POSTOPERATIVE MANAGEMENT" NlmCategory="METHODS">Strict elevation of the extremity for 5 days, then flap conditioning.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Between 1997 and 2012, this technique was used in 104 consecutive patients with soft tissue defects in the distal one-third of the lower leg. Flap survival was achieved 91 patients. In 2 patients amputation of the lower leg was necessary at the mid tibia level. In 3 cases flap necrosis occurred, requiring free tissue transfer.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schmidt</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of plastic and aesthetic surgery and handsurgery, Department of traumatology, Julius Maximilians Universtity of Würzburg, Oberduerrbacher Str. 6, 97080, Würzburg, Deutschland. Schmidt_k@klinik.uni-wuerzburg.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jakubietz</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Harenberg</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Holzapfel</LastName><ForeName>B M</ForeName><Initials>BM</Initials></Author><Author ValidYN="Y"><LastName>Rudert</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Meffert</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Jakubietz</LastName><ForeName>R</ForeName><Initials>R</Initials></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Der distal gestielte adipofasziale Suralislappen zur Rekonstruktion von Defekten der distalen unteren Extremität.</VernacularTitle></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Oper Orthop Traumatol</MedlineTA><NlmUniqueID>9604937</NlmUniqueID><ISSNLinking>0934-6694</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001158" MajorTopicYN="N">Arteries</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005205" MajorTopicYN="N">Fascia</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007869" MajorTopicYN="N">Leg Injuries</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061525" MajorTopicYN="N">Perforator Flap</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019651" MajorTopicYN="N">Reconstructive Surgical Procedures</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017695" MajorTopicYN="N">Soft Tissue Injuries</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D050151" MajorTopicYN="N">Subcutaneous Fat</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>3</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>3</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23525492</ArticleId><ArticleId IdType="doi">10.1007/s00064-012-0203-6</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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