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The Lymphatic Response to Injury with Soft-Tissue Reconstruction in High-Energy Open Tibial Fractures of the Lower Extremity.

Identifieur interne : 000399 ( PubMed/Curation ); précédent : 000398; suivant : 000400

The Lymphatic Response to Injury with Soft-Tissue Reconstruction in High-Energy Open Tibial Fractures of the Lower Extremity.

Auteurs : Malou C. Van Zanten ; Raakhi M. Mistry ; Hiroo Suami ; Andrew Campbell-Lloyd ; James P. Finkemeyer ; Neil B. Piller ; Yugesh Caplash

Source :

RBID : pubmed:28125537

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English descriptors

Abstract

Severe compound tibial fractures are associated with extensive soft-tissue damage, resulting in disruption of lymphatic pathways that leave the patient at risk of developing chronic lymphedema. There are limited data on lymphatic response following lower limb trauma. Indocyanine green fluorescence lymphography is a novel, real-time imaging technique for superficial lymphatic mapping. The authors used this technique to image the superficial lymphatic vessels of the lower limbs in patients with severe compound tibial fracture.

DOI: 10.1097/PRS.0000000000003024
PubMed: 28125537

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Malou C. Van Zanten
<affiliation>
<nlm:affiliation>Adelaide, South Australia, and Sydney, New South Wales, AustraliaFrom the Department of Surgery, Lymphoedema Research Unit, Flinders University; the Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital; and the Faculty of Medicine and Health Sciences, Macquarie University.</nlm:affiliation>
<wicri:noCountry code="subField">Macquarie University</wicri:noCountry>
</affiliation>

Le document en format XML

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<title xml:lang="en">The Lymphatic Response to Injury with Soft-Tissue Reconstruction in High-Energy Open Tibial Fractures of the Lower Extremity.</title>
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<name sortKey="Van Zanten, Malou C" sort="Van Zanten, Malou C" uniqKey="Van Zanten M" first="Malou C" last="Van Zanten">Malou C. Van Zanten</name>
<affiliation>
<nlm:affiliation>Adelaide, South Australia, and Sydney, New South Wales, AustraliaFrom the Department of Surgery, Lymphoedema Research Unit, Flinders University; the Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital; and the Faculty of Medicine and Health Sciences, Macquarie University.</nlm:affiliation>
<wicri:noCountry code="subField">Macquarie University</wicri:noCountry>
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<name sortKey="Mistry, Raakhi M" sort="Mistry, Raakhi M" uniqKey="Mistry R" first="Raakhi M" last="Mistry">Raakhi M. Mistry</name>
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<name sortKey="Campbell Lloyd, Andrew" sort="Campbell Lloyd, Andrew" uniqKey="Campbell Lloyd A" first="Andrew" last="Campbell-Lloyd">Andrew Campbell-Lloyd</name>
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<name sortKey="Finkemeyer, James P" sort="Finkemeyer, James P" uniqKey="Finkemeyer J" first="James P" last="Finkemeyer">James P. Finkemeyer</name>
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<name sortKey="Piller, Neil B" sort="Piller, Neil B" uniqKey="Piller N" first="Neil B" last="Piller">Neil B. Piller</name>
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<title xml:lang="en">The Lymphatic Response to Injury with Soft-Tissue Reconstruction in High-Energy Open Tibial Fractures of the Lower Extremity.</title>
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<nlm:affiliation>Adelaide, South Australia, and Sydney, New South Wales, AustraliaFrom the Department of Surgery, Lymphoedema Research Unit, Flinders University; the Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital; and the Faculty of Medicine and Health Sciences, Macquarie University.</nlm:affiliation>
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<term>Adult</term>
<term>Aged</term>
<term>Coloring Agents</term>
<term>Female</term>
<term>Fractures, Open (complications)</term>
<term>Humans</term>
<term>Indocyanine Green</term>
<term>Lymphatic Vessels (diagnostic imaging)</term>
<term>Lymphatic Vessels (injuries)</term>
<term>Lymphography</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Optical Imaging</term>
<term>Prospective Studies</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Soft Tissue Injuries (etiology)</term>
<term>Soft Tissue Injuries (surgery)</term>
<term>Tibial Fractures (complications)</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Agents colorants</term>
<term>Femelle</term>
<term>Fractures du tibia ()</term>
<term>Fractures ouvertes ()</term>
<term>Humains</term>
<term>Imagerie optique</term>
<term>Lymphographie</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Sujet âgé</term>
<term>Traumatismes des tissus mous ()</term>
<term>Traumatismes des tissus mous (étiologie)</term>
<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
<term>Vaisseaux lymphatiques (traumatismes)</term>
<term>Vert indocyanine</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Coloring Agents</term>
<term>Indocyanine Green</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Fractures, Open</term>
<term>Tibial Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lymphatic Vessels</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Soft Tissue Injuries</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Vaisseaux lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Lymphatic Vessels</term>
</keywords>
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<term>Reconstructive Surgical Procedures</term>
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<term>Soft Tissue Injuries</term>
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<term>Vaisseaux lymphatiques</term>
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<term>Traumatismes des tissus mous</term>
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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphography</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Optical Imaging</term>
<term>Prospective Studies</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Agents colorants</term>
<term>Femelle</term>
<term>Fractures du tibia</term>
<term>Fractures ouvertes</term>
<term>Humains</term>
<term>Imagerie optique</term>
<term>Lymphographie</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Sujet âgé</term>
<term>Traumatismes des tissus mous</term>
<term>Vert indocyanine</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">Severe compound tibial fractures are associated with extensive soft-tissue damage, resulting in disruption of lymphatic pathways that leave the patient at risk of developing chronic lymphedema. There are limited data on lymphatic response following lower limb trauma. Indocyanine green fluorescence lymphography is a novel, real-time imaging technique for superficial lymphatic mapping. The authors used this technique to image the superficial lymphatic vessels of the lower limbs in patients with severe compound tibial fracture.</div>
</front>
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<PMID Version="1">28125537</PMID>
<DateCreated>
<Year>2017</Year>
<Month>01</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>06</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>08</Month>
<Day>17</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1529-4242</ISSN>
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<Volume>139</Volume>
<Issue>2</Issue>
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<Year>2017</Year>
<Month>Feb</Month>
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<Title>Plastic and reconstructive surgery</Title>
<ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation>
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<ArticleTitle>The Lymphatic Response to Injury with Soft-Tissue Reconstruction in High-Energy Open Tibial Fractures of the Lower Extremity.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Severe compound tibial fractures are associated with extensive soft-tissue damage, resulting in disruption of lymphatic pathways that leave the patient at risk of developing chronic lymphedema. There are limited data on lymphatic response following lower limb trauma. Indocyanine green fluorescence lymphography is a novel, real-time imaging technique for superficial lymphatic mapping. The authors used this technique to image the superficial lymphatic vessels of the lower limbs in patients with severe compound tibial fracture.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Baseline demographics and clinical and operative details were recorded in a prospective cohort of 17 patients who had undergone bone and soft-tissue reconstruction after severe compound tibial fracture between 2009 and 2014. Normal lymphatic images were obtained from the patients' noninjured limbs as a control. In this way, the authors investigated any changes to the normal anatomy of the lymphatic system in the affected limbs.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 17 patients, eight had free muscle flaps with split-thickness skin grafting, one had a free fasciocutaneous flap, one had a full-thickness skin graft, six had local fasciocutaneous flaps, and one had a pedicled gastrocnemius flap. None of the free flaps demonstrated any functional lymphatic vessels; the fasciocutaneous flaps and the skin graft demonstrated impaired lymphatic vessel function and dermal backflow pattern similar to that in lymphedema. Local flaps demonstrated lymphatic blockage at the scar edge.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Severe compound fractures and the associated soft-tissue injury can result in significant lymphatic disruption and an increased risk for the development of chronic lymphedema.</AbstractText>
</Abstract>
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<LastName>van Zanten</LastName>
<ForeName>Malou C</ForeName>
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<Affiliation>Adelaide, South Australia, and Sydney, New South Wales, AustraliaFrom the Department of Surgery, Lymphoedema Research Unit, Flinders University; the Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital; and the Faculty of Medicine and Health Sciences, Macquarie University.</Affiliation>
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