Abstract:
BACKGROUND:Reconstruction of complicated diabetic lower leg and foot defects involving multiple tissue components remains a challenge. The purpose of this report is to introduce thoracodorsal artery perforator (TDAP) chimeric flaps for reconstructing diabetic lower leg and foot soft tissue defects. PATIENTS AND METHODS:Between April 2010 and August 2016, 17 patients with multiple diabetic lower leg and foot defects underwent reconstruction with TDAP chimeric flaps. Nine were women and the mean age of the patients was 57.7 years (range 35-73 years). One patient had 3 separate defects, 14 patients had 2 separate defects, and 2 patients had defects with dead space. The size of the defects ranged from 5 × 3 cm to 20 × 10 cm. RESULTS:Fifteen patients received TDAP chimeric flaps with two components (skin and muscle components), and two received three components (skin, latissimus dorsi (LD), and serratus anterior [SA] components). The skin paddle ranged from 10 × 3 cm to 25 × 14 cm. The LD components ranged from 3 × 5 cm to 20 × 10 cm and SA components ranged from 5 × 2 cm to 8 × 7 cm. All flaps survived except for partial loss of one muscle component. Four patients suffered postoperative complications including wound disruption and infection, all of which healed conservatively. The mean follow-up was 31.3 months (range 8-60 months). Fifteen patients were able to walk, one patient walked with walker, and one patient who had amputation due to Charcot joint infection walked with prosthesis. CONCLUSIONS:The TDAP chimeric flap may be another option for the complicated and complex wound coverage required to reconstruct diabetic lower leg and foot soft tissue defects.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Sung IH,Jang DW,Kim SW,Kim YH,Kim SWdoi
10.1002/micr.30314subject
Has Abstractpub_date
2018-09-01 00:00:00pages
674-681issue
6eissn
0738-1085issn
1098-2752journal_volume
38pub_type
杂志文章相关文献
MICROSURGERY文献大全abstract::The results of a 3-year study in which a series of 355 implantations of 1-cm-long fibrous polyurethane microvascular prostheses into the infrarenal aorta of the rat (group A) were evaluated with respect to patency and formation, structure, and fate of the neo-intima. Rats were sacrificed at various intervals from 1 da...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920060306
更新日期:1985-01-01 00:00:00
abstract::The groin flap is one of the most usable flaps. It provides a large amount of skin coverage with an easily concealed donor site. However, when the flap is used to reconstruct areas of the neck, hand, or foot, a secondary procedure for defatting is usually necessary. Thinner flaps are thought to be more useful in these...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(SICI)1098-2752(1996)17:1<41::AID-MICR8>3.
更新日期:1996-01-01 00:00:00
abstract:INTRODUCTION:Venous congestion is the most common vascular complication of the deep inferior epigastric artery perforator (DIEP) flaps. Adding a second venous drainage by anastomosing a flap vein and a recipient vein (super-drainage) is considered the solution of choice. Evidence to support this procedure, had not yet ...
journal_title:Microsurgery
pub_type: 杂志文章,评审
doi:10.1002/micr.30682
更新日期:2020-11-10 00:00:00
abstract::Between 1987-2002, omental free-tissue transfer was used in 11 patients, aged 6-65 years (mean age, 37.6). The omentum was used for the treatment of brachial plexus injury pain (3 cases), Romberg's disease (1 case), defects of the extremities occurring with chronic obstructive arterial disease (2 cases), posttraumatic...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10130
更新日期:2003-01-01 00:00:00
abstract:INTRODUCTION:Magnetic resonance angiography (MRA) is currently considered the most useful test to evaluate the vascular anatomy of the lower leg prior to free fibula osteocutaneous flap transfer. This study aimed to confirm the validity of preoperative MRA. METHODS:In 19 patients underwent free fibula osteocutaneous f...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22128
更新日期:2013-09-01 00:00:00
abstract::The distally-based anterolateral thigh flap is an attractive option for proximal leg and knee coverage but venous congestion is common. Restoration of antegrade venous drainage via great saphenous vein supercharge to the proximal flap vein is proposed. The purpose of this study was to evaluate and compare outcomes of ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22380
更新日期:2016-01-01 00:00:00
abstract::This investigation quantitatively compared lumenal dimensions of 1 mm end-to-side anastomoses with longitudinal or transverse arteriotomies into host arteries 1.5-2 mm in diameter. In 27 rats, 6-7 mm sections of iliac arteries (1 mm in diameter) were sutured as small bypasses onto abdominal aortae (1.5-2 mm in diamete...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920110206
更新日期:1990-01-01 00:00:00
abstract::Big craniofacial resections for highly invasive malignant neoplasm, including skull base and maxillary bones, always represent a difficult chance for the reconstructive surgeon. In these cases it is not easy to restore anatomy and function simultaneously even adopting complex microsurgical techniques. In maxillofacial...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20694
更新日期:2010-01-01 00:00:00
abstract::Composite tissue allografts (CTAs) contain their own reservoir of vascularized bone marrow, offering novel aspects for the induction of donor-specific tolerance. Additionally, the manipulation of recipient dendritic cells, pulsed with donor allopeptide, has been shown to engender solid organ allograft survival. To exp...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20314
更新日期:2007-01-01 00:00:00
abstract::Recent supermicrosurgical techniques have developed the possibility for vascular anastomosis of smaller vessels and it is now safe and sound to perform precise anastomoses between lymphatics and venules. Reported here is the 2 years experience on supermicrosurgical lymphaticovenular anastomosis and/or lymphaticovenous...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20665
更新日期:2009-01-01 00:00:00
abstract::This study examines the effects of combination therapy with the nitric oxide (NO) donor S-nitroso-N-acetylcysteine (SNAC) and the iNOS inhibitor N-(3-(aminomethyl)benzyl) acetamidine (1400W) on contractile function in reperfused rat skeletal muscle. The right extensor digitorum longus (EDL) muscles of 104 rats were su...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20122
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVES:To report the wide clinical experience and the research studies in the microsurgical treatment of peripheral lymphedema. METHODS:More than 1800 patients with peripheral lymphedema have been treated with microsurgical techniques. Derivative lymphatic microvascular procedures recognize today its most exemplar...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20737
更新日期:2010-05-01 00:00:00
abstract::Heart and spleen twin grafts from LEW to ACI rats may survive permanently, whereas those grafted from ACI to LEW rats do not. This strain difference in graft acceptance was analyzed quantitatively by transplanting one to three ACI spleens into LEW rats in order to compensate for the relatively small size of ACI spleen...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920040407
更新日期:1983-01-01 00:00:00
abstract::Clinical and experimental studies have been conducted to improve the survival of venous flaps. As a result of these studies, although various survival mechanisms were raised, none obtained satisfactory information. Venous stasis, and the resultant venous thrombosis, is a factor that decreases the survival of venous fl...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.21801
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:To obtain free flap success, microvascular anastomosis must be perfectly constructed. External compression, twisting (torsion) of the anastomosis site, tension on the anastomosis site, and kinking of the pedicle must be avoided. Few experimental studies report the patency rates of rat vessels after twisting ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20281
更新日期:2006-01-01 00:00:00
abstract::Small bowel transplantation is emerging as an alternative treatment for end-stage intestinal failure. To date, immunological and technical problems are still hampering clinical success. Functional experimental small bowel transplantation models have traditionally been plagued with a high technical complication rate. T...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(SICI)1098-2752(1996)17:7<409::AID-MICR11>
更新日期:1996-01-01 00:00:00
abstract::Vibration syndrome, a clinical condition arising from chronic use of vibrating tools, is associated with a spectrum of neurovascular symptoms. To date, only its vascular pathology has been extensively studied; we sought to determine what direct neurologic injury, if any, is caused by vibration. Hindlimbs of anesthetiz...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20081
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:The purpose of this study is to evaluate the use of the venous anastomotic Flow Coupler in monitoring free flaps used for breast reconstruction in a consecutive series of patients. METHODS:Retrospective data were collected on patients undergoing free flap breast reconstruction from May 2012 to March 2014. The ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22341
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Reconstructing soft tissue defect on the trochanteric area is challenging. Due to the significant complications associated with regional flap, free tissue transfer is an appropriate option. However, this area has poor recipient vessels. Therefore, we present perforators as suitable recipient vessels to facil...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30424
更新日期:2020-01-01 00:00:00
abstract::In this report, we present a case of treatment of fibrous dysplasia (FD) of the proximal femur with the pedicled iliac crest bone graft. An 18-year-old patient presented with hip pain and polyostotic dysplasia with involvement of the proximal femur and a history of pathological fracture. The patient was operated on us...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20830
更新日期:2011-01-01 00:00:00
abstract::In clinical settings, combined heart and kidney transplantation results in a lower incidence of cardiac graft and renal graft rejection as compared to isolated heart and kidney transplantation. To study the phenomenon in an experimental setting, we developed a model of combined heart and kidney transplantation in mice...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10111
更新日期:2003-01-01 00:00:00
abstract::The lumbar spines of twenty-one dogs were used as an experimental model. The animals were divided into three groups. In the first group, selective damage to the perimeningeal blood vessels was induced and the resultant hematoma was left untouched in the spinal canal. In the second group, the posterior longitudinal lig...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920130409
更新日期:1992-01-01 00:00:00
abstract::In this retrospective study, the survival rates of fingertip replantation with and without vein grafting were evaluated along with their postoperative functional and cosmetic results. One hundred twenty-one-fingertip amputations were performed in 103 patients between September 2002 and July 2007. Thirty-four amputated...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20614
更新日期:2009-01-01 00:00:00
abstract::The single-anastomosis heart-lung transplantation method in the rat developed by Lee and associates has been examined and has proven to be simple and reproducible. Technical procedures are discussed emphasizing those procedures that require special caution to ensure successful graft function. The donor and recipient r...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920080411
更新日期:1987-01-01 00:00:00
abstract::Literature on the reconstruction of the proximal femur in skeletally immature patients with the use of an epiphyseal transplant is scarce and with variable results depending on the indication. We report successful outcomes using a modified vascularized fibular epiphyseal transplant in a 4-year-old boy with an oncologi...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.21988
更新日期:2012-09-01 00:00:00
abstract::We previously reported pedicled venous flap survival using the rat model, as well as venovenous, arteriovenous, and arterialized flow-through venous flap survival using the rabbit ear model. For this study, we utilized these flaps clinically. Five of seven pedicled venous flaps survived, displaying superficial necrosi...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150810
更新日期:1994-01-01 00:00:00
abstract::In order to understand the mechanisms involved in the hypertrophy of vascularized bone grafts, a series of animal experiments were carried out and 32 clinical cases were studied. A defect in the tibial shaft was created in puppies and the ipsilateral fibula was transferred into the medullary cavity of the tibia with t...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920151012
更新日期:1994-01-01 00:00:00
abstract::A case is presented where both the ulnar nerve and palmaris profundus tendon were found within the carpal tunnel during routine open decompression for carpal tunnel syndrome. ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10196
更新日期:2004-01-01 00:00:00
abstract::We present our experience with reconstruction after resection of tumors around the knee, using free vascularized fibular grafting. The study included 23 patients. The lower femur was involved in 17 cases, the upper tibia in 6. The cases included giant cell tumor of the lower femur (2 patients), giant cell tumor of the...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/1098-2752(2000)20:5<233::aid-micr4>3.0.co;
更新日期:2000-01-01 00:00:00
abstract::Cryopreservation of organs has been investigated to sustain the reproductive function of patients undergoing sterilizing chemotherapy and radiotherapy or reproductive surgery. A modified protocol for whole organ cryopreservation was described and the outcome of cryopreservative ovaries was evaluated, and apoptosis of ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20516
更新日期:2008-01-01 00:00:00