Limb salvage of infected diabetic foot ulcers with microsurgical free-muscle transfer.

Abstract:

:This study was comprised of 9 diabetic patients with 10 infected foot ulcers, including osteomyelitis in 4 limbs and gangrene in 3 limbs. Adequate debridement of these complicated wounds inevitably resulted in exposure of bones or tendons. All defects were successfully reconstructed with free gracilis muscle flaps covered with split-thickness skin grafts. No recurrence of ulcer or infection was noted in the muscle-transplanted area during the follow-up period. Laser Doppler perfusion monitor measurement showed that the perfusion unit of the denervated free muscle flap increased to a peak at the second week after transplantation; the neovascularization of the grafted skin, the progressive decrease of the muscle swelling, and the decreased interstitial pressure may be the main contributing factors. The perfusion unit of the muscle flap reached equilibrium with the surrounding tissue at about 8 weeks after microsurgical transfer. Lower extremity amputation is a major health problem in the diabetic population. The microvascular free-muscle transfer was proved to play an effective and important role in limb salvage in diabetic patients with infected foot ulcers. The gracilis muscle flap was recommended due to its lack of bulkiness and minimal donor site deformity.

journal_name

Ann Plast Surg

authors

Lai CS,Lin SD,Yang CC,Chou CK,Wu SF,Chang CH

doi

10.1097/00000637-199103000-00002

subject

Has Abstract

pub_date

1991-03-01 00:00:00

pages

212-20

issue

3

eissn

0148-7043

issn

1536-3708

journal_volume

26

pub_type

杂志文章
  • Observations on the ultrastructure of the pericranium.

    abstract::The pericranial membrane is of great interest in corrective and reconstructive procedures of the craniofacial region. A close look at its ultrastructure reveals that the outer layer is made up of loose areolar tissue and fibroblasts, and the inner layer of osteoblasts. A network of vessels near the inner layer account...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Habal MB,Maniscalco JE

    更新日期:1981-02-01 00:00:00

  • Zone I flexor profundus tendon repair in children 5-10 years of age using 3 "figure of eight" sutures followed by immediate active mobilization.

    abstract::A review of the English medical literature over the last 20 years reporting on flexor profundus lacerations revealed only 55 reported cases of zone I flexor profundus lacerations in children. The standard repair technique in young children (5-10 years of age) has been either tendon reinsertion into bone (usually Bunne...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31820e0e19

    authors: Al-Qattan MM

    更新日期:2012-01-01 00:00:00

  • Frey's syndrome: prevention with conservative parotidectomy and superficial musculoaponeurotic system preservation.

    abstract::Between 1980 and 1990, 35 patients underwent conservative parotidectomy combining a rhytidectomy incision and a superficial musculoaponeurotic system preservation technique to reduce the postoperative incidence of Frey's syndrome. All patients were evaluated by questionnaire for subjective symptoms of gustatory sweati...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199209000-00005

    authors: Yu LT,Hamilton R

    更新日期:1992-09-01 00:00:00

  • Reducing postoperative infections and red breast syndrome in patients with acellular dermal matrix-based breast reconstruction: the relative roles of product sterility and lower body mass index.

    abstract:PURPOSE:The use of human acellular dermal matrices (ADM) has become routinely used in implant-based breast surgery. Notwithstanding the many benefits for tissue support, the morbidity associated with its use includes seroma and infection, among other potential complications. Some patients experience a specific complica...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000475

    authors: Lewis P,Jewell J,Mattison G,Gupta S,Kim H

    更新日期:2015-05-01 00:00:00

  • Reconstruction of complex oncologic chest wall defects: a 10-year experience.

    abstract::The repair of complex chest wall defects presents a challenging problem for the reconstructive surgeon. Although the majority of such defects could be repaired with the use of local and regional musculocutaneous flaps, more complicated cases require increasingly sophisticated reconstructive techniques. This study revi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000122653.09641.f8

    authors: Chang RR,Mehrara BJ,Hu QY,Disa JJ,Cordeiro PG

    更新日期:2004-05-01 00:00:00

  • Sheep hemifacial and auricular transplantation models: an anatomic study.

    abstract:INTRODUCTION:Currently, only a few large animal models, including swine, dog, and nonhuman primate, are described for composite face transplantation studies and the literature lacks reports on the large animal model of composite auricular transplantation. Large animal models offer better understanding of the immunologi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000122

    authors: Uygur S,Ozturk C,Kwiecien G,Djohan R,Siemionow M

    更新日期:2014-04-01 00:00:00

  • Mandibular contour reconstruction with three-dimensional computer-assisted models.

    abstract::Facial contours are thought to depend on the appropriate balance of hard and soft tissue. To obtain aesthetically good results in head and neck reconstruction, surgeons should know the exact three-dimensional shape and volume of both hard and soft tissue to be reconstructed. The authors used computer-assisted three-di...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200104000-00006

    authors: Ueda K,Tajima S,Oba S,Omiya Y,Byun SI,Okada M

    更新日期:2001-04-01 00:00:00

  • Perioperative Use of Antiestrogen Therapies in Breast Reconstruction: A Systematic Review and Treatment Recommendations.

    abstract:BACKGROUND:Patients with hormone receptor-positive breast tumors receive hormonal therapy with either selective estrogen receptor modulators (SERMs) (eg, tamoxifen) or aromatase inhibitors (AIs) (eg, anastrozole) for 5 to 10 years. Patients are using these therapies frequently during breast reconstruction. Literature i...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002394

    authors: Spera LJ,Cook JA,Dolejs S,Fisher C,Lester ME,Hassanein AH

    更新日期:2020-10-01 00:00:00

  • Reconstruction of the lips, oral commissure, and full-thickness cheek with a composite radial forearm palmaris longus free flap.

    abstract::Reconstruction of the lower and upper lips, commissure, and full-thickness cheek defects using a composite radial forearm palmaris longus free flap with secondary commissuroplasty is described. This flap is useful for reconstruction of the total lower lip as well as larger defects that include full-thickness cheek and...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199411000-00013

    authors: Furuta S,Sakaguchi Y,Iwasawa M,Kurita H,Minemura T

    更新日期:1994-11-01 00:00:00

  • Botfly myiasis: case report and brief review.

    abstract::The painful, boil-like lesion of furuncular myiasis is a result of the invasion of subcutaneous tissues by larvae of Dermatobia hominis, the human botfly. This arthropod is indigenous to Mexico, and Central and South America, and imported cases to the United States are increasing as travel to these regions continues t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-200102000-00011

    authors: Sampson CE,MaGuire J,Eriksson E

    更新日期:2001-02-01 00:00:00

  • Chest wall reconstruction using iliac bone allografts and muscle flaps.

    abstract::Technically we can divide full-thickness thoracic reconstruction into 2 parts: providing a rigid support and ensuring well-vascularized coverage. Since 1986, the authors' center has had ample experience with bone banks and the use of cryopreserved bone grafts, which led them to consider the possibility of using these ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000099961.00590.9b

    authors: Garcia-Tutor E,Yeste L,Murillo J,Aubá C,Sanjulian M,Torre W

    更新日期:2004-01-01 00:00:00

  • Endoscopically assisted removal of unilateral coronoid process hyperplasia.

    abstract::Coronoid process hyperplasia (CPH) is an uncommon disorder characterized by an enlarged coronoid process impinging against the posterior aspect of the zygomatic arch. Young male adults are usually affected, presenting with limited mouth opening, which is typically painless and progressive in nature. The diagnosis of t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Mavili E,Akyürek M,Kayikçioğlu A

    更新日期:1999-02-01 00:00:00

  • Experiences with the lateral calcaneal artery flap.

    abstract::A chronic ulcer of the posterior heel or lateral ankle can be a large problem for the patient. The lateral calcaneal artery flap is a reliable neurovascular local skin flap that can cover the defect after excision of the ulcer in this area. The flap includes the lateral calcaneal artery, sural nerve, and lesser saphen...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198812000-00007

    authors: Hovius SE,Hofman A,van der Meulen JC

    更新日期:1988-12-01 00:00:00

  • Prophylactic antibiotics in surgical treatment of axillary hyperhidrosis.

    abstract::A randomized, prospective, double-blind study designed to compare the effectiveness of the use of cloxacillin with the result of nontreatment in patients undergoing surgical intervention of axillary hyperhidrosis was conducted from August 1987 to October 1987 at the Veterans General Hospital, Taipei, Taiwan. Forty-two...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000637-198905000-00009

    authors: Ma S,Chiang SS,Fang RH

    更新日期:1989-05-01 00:00:00

  • Limb salvage of infected knee reconstructions for cancer with staged revision and free tissue transfer.

    abstract:UNLABELLED:Periprosthetic infections of oncologic reconstructions have an amputation rate between 37% and 87%. Eleven patients with an infected knee reconstruction following limb salvage surgery for cancer were treated with the staged protocol. All patients underwent prosthetic removal and implantation of an antibiotic...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000203990.08414.ad

    authors: Manoso MW,Boland PJ,Healey JH,Cordeiro PG

    更新日期:2006-05-01 00:00:00

  • Combined microvascular anastomosis: experimental and clinical experience.

    abstract::A short operative time and a high successful rate of microvascular anastomosis are the goals of many plastic surgeons. The authors present their experimental and clinical experience in microvascular anastomoses with the use of a combination of continuous suture and interrupted tie. Twenty rats were divided into two gr...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200045030-00010

    authors: Lin TS,Chiang YC

    更新日期:2000-09-01 00:00:00

  • A novel method of auricular reconstruction.

    abstract::Seven male patients and 8 total ears underwent composite excision for neoplasm of the auricular helix. Defect size ranged from 2.5 to 4.5 cm exceeding the conventional limit of l.5 cm for wedge excision with primary closure. An incision at the root of the helix released the superior auricular muscle and a portion of t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181a395fb

    authors: McRae MC,Au A,Narayan D

    更新日期:2009-05-01 00:00:00

  • Surgery without skin resection for eyelid entropion.

    abstract::The previously reported surgical methods for eyelid entropion are basically manipulations of the skin or the conjunctival surface. When entropion is marked, manipulations also involve the tarsus. In the most widely used method, the eyelashes are directed outward by horizontal wedge resection of an appropriate amount o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000106426.86478.dc

    authors: Ito O,Kashiwa N,Igawa HH,Suzuki S,Kawazoe T

    更新日期:2004-07-01 00:00:00

  • The amplified sliding flap.

    abstract::During recent years, sliding flaps have had great popularity owing to their advantages in terms of reliability, ease of execution, and good morphofunctional results. The limits of these flaps are related to the capacity of excursion in the advancement. To improve these limits, we describe in this article a personal mo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199310000-00006

    authors: Campus GV,Lissia M,Pancrazi E

    更新日期:1993-10-01 00:00:00

  • The use of a retroauricular fascioperichondrial flap in the recreation of the antihelical fold in prominent ear surgery.

    abstract::The surgical treatments for prominent ears are on the basis of the approach over the basics of the deformity decrease the concha-mastoid angle and create a new antihelical fold. The author describes a new retroauricular flap to be used in the recreation of the antihelical fold and critically analyzes the cosmetic resu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318195bfdd

    authors: Frascino LF

    更新日期:2009-11-01 00:00:00

  • Free posterior tibial perforator-based flaps.

    abstract::Free posterior tibial perforator-based flaps, fed by a perforator from the posterior tibial artery, were applied in 2 patients. The advantages of this flap are that they are reliable, relatively large and thin flaps, making it possible to use an innervated flap without sacrificing the posterior tibial artery. This fla...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199103000-00012

    authors: Koshima I,Soeda S

    更新日期:1991-03-01 00:00:00

  • Endothelin-1 kinetics in plasma, urine, and blister fluid in burn patients.

    abstract::Endothelin-1, a peptide isolated from vascular endothelial cells, facilitates the constriction of vascular smooth muscle and various pharmacological actions including vasodilation, the proliferation of smooth muscle cells and fibroblasts, and the stimulation of arachidonic acid metabolism. In this study, plasma, urine...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199609000-00012

    authors: Wakisaka N,Kubota T,Ando K,Aihara M,Inoue H,Ishida H

    更新日期:1996-09-01 00:00:00

  • Tissue expansion in reconstruction of postburn contracture of the first web space of the hand.

    abstract::The successful release of severe contracture of the first web space depends on addition of a sufficient amount of skin. Because local skin is limited, skin grafts tend to contract, and free and pedicle flaps are bulky, further procedures are often obligatory. Expansion of the tissues of the dorsum of the hand offers a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199105000-00009

    authors: Borenstein A,Yaffe B,Seidman DS,Engel J

    更新日期:1991-05-01 00:00:00

  • Attenuation of reperfusion-induced lipoperoxidation by systemic use of oxygen radical scavengers after pedicle occlusion.

    abstract::Oxygen free radicals are implicated to cause tissue injury during ischemia and reperfusion and may play a central role in the no-reflow phenomena. Modulation of these substances has been suggested as a means of decreasing the amount of tissue loss due to ischemia and subsequent reperfusion. Pretreatment of tissues wit...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199202000-00008

    authors: Izquierdo R,Swartz WM,Sutker KB,Boydell CL,Almand J

    更新日期:1992-02-01 00:00:00

  • Anatomical characteristics of the nasal cartilages for successful rhinoplasty in Koreans.

    abstract:BACKGROUNDS:The aims of the present study were to determine the exact level of separation of the upper lateral cartilage from the septal cartilage, and to classify the patterns of connection between the upper lateral cartilage and the lower lateral cartilage. METHODS:We dissected and photographed 60 sides of noses; 18...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31826cb00e

    authors: Yoo JY,Kim JN,Lee JY,Shin KJ,Song WC,Koh KS,Choi HG,Shin DH,Jo DI,Jeon HS,Kim SH

    更新日期:2014-07-01 00:00:00

  • Microvascular temporalis fascia transfer for penile girth enhancement.

    abstract::The authors report a 44-year-old man with inadequate penile girth that caused psychological problems. Using microvascular temporalis fascia transfer, they achieved satisfactory penile girth enhancement based on reliable vascularity in a single stage. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200107000-00016

    authors: Küçükçelebi A,Ertaş NM,Aydin A,Eroğlu A,Ozmen E,Velidedeoğlu H

    更新日期:2001-07-01 00:00:00

  • The oblique mastectomy incision: advantages and outcomes.

    abstract::Mastectomy has traditionally been performed using a transverse elliptical incision. The disadvantages of this approach are a potentially visible scar medially and poor subincisional soft-tissue coverage of implants laterally. A more natural and aesthetic result is obtained with an oblique incision running parallel to ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000119

    authors: Gronet EM,Halvorson EG

    更新日期:2014-01-01 00:00:00

  • Patient-reported outcomes and sexual function in vaginal reconstruction: a 17-year review, survey, and review of the literature.

    abstract::There are multiple techniques used to reconstruct the vagina after oncologic extirpation. However, the long-term functional results of vaginal reconstruction are not well appreciated.A review was conducted of all 27 consecutive patients undergoing vaginal reconstruction from 1990 to 2007. A modified Sexual Adjustment ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e3181af8fca

    authors: Scott JR,Liu D,Mathes DW

    更新日期:2010-03-01 00:00:00

  • Reconstruction of the lower extremity after grade III distal tibial injuries using combined microsurgical free tissue transfer and bone transport by distraction osteosynthesis.

    abstract::Five patients each with grade IIIB or IIIC distal tibial injuries are presented. All patients were treated initially by multiple debridements and external fixation of the tibial fracture. After failure of the primary treatment, each patient underwent microsurgical free muscle transfer and bone transport of the proxima...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199302000-00001

    authors: Spiro SA,Oppenheim W,Boss WK,Schneider AI,Hutter AM

    更新日期:1993-02-01 00:00:00

  • Polyurethane nipple prosthesis.

    abstract::Long-term nipple projection remains the elusive ingredient for measuring the success of a nipple reconstruction. Augmentation of this projection without sacrifice of autogenous donor tissues may be achieved using a polyurethane-coated silicone gel implant affectionately and descriptively called the "gumdrop" nipple. T...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199001000-00015

    authors: Hallock GG

    更新日期:1990-01-01 00:00:00