The Combined Use of a Neurocutaneous Flap and the Ilizarov Technique for Reconstruction of Large Soft Tissue Defects and Bone Loss in the Tibia.

Abstract:

BACKGROUND:Management of posttraumatic large soft tissue defects and bone loss remains a therapeutic and surgical challenge for orthopedic surgeons. We assessed the use of a neurocutaneous flap and the Ilizarov technique in the reconstruction of severe composite defects in the tibia. METHODS:We retrospectively reviewed 18 consecutive patients with trauma-related soft tissue defects and bone loss. The size of the soft tissue defect ranges from 8 × 9 cm to 14 × 18 cm. The mean size of bone loss was 4.5 cm. A great saphenous neurocutaneous flap or sural neurocutaneous flap was created to reconstruct the soft tissue defect. The Ilizarov external fixator was applied to reconstruct bony loss by means of distraction osteogenesis. RESULTS:The mean follow-up period was 38.8 months. All transferred flaps survived completely. The area covered ranged from 9 × 10 cm to 15 × 20 cm. The mean distraction length and duration of use of the external fixator were 6 cm and 11.4 months, respectively. All patients achieved final union. Complications of superficial pin-tract infections and mild Achilles tendon contracture were observed, but these were resolved over time. All patients were satisfied with the outcome of the surgery. CONCLUSIONS:A well-vascularized neurocutaneous flap is a safe and effective option in lower extremity reconstruction under a stable mechanical environment, which can be created using the Ilizarov technique. It is a good option for reconstructing severe complex defects in the lower limb.

journal_name

Ann Plast Surg

authors

Xu J,Zhong WR,Cheng L,Wang CY,Wen G,Han P,Chai YM

doi

10.1097/SAP.0000000000000921

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

543-548

issue

5

eissn

0148-7043

issn

1536-3708

pii

00000637-201705000-00015

journal_volume

78

pub_type

杂志文章
  • Single-stage, multimodality treatment of soft-tissue sarcoma of the extremity.

    abstract::The present study describes the techniques available for single-stage sarcoma resection, soft-tissue reconstruction, and radiotherapy for limb preservation in patients who are unable to undergo primary wound closure after a complete soft-tissue resection of their primary sarcoma. From 1989 to 1994, 19 patients (age ra...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199711000-00003

    authors: Abramson DL,Orgill DP,Singer S,Gibstein LA,Pribaz JJ

    更新日期:1997-11-01 00:00:00

  • Quantitative analysis of the reconstructed breast using a 3-dimensional laser light scanner.

    abstract::Postoperative cosmesis of the reconstructed breast depends on the interrelation of shape, size (volume), and symmetry. In this study, reconstructed breasts were analyzed with 3-dimensional projections generated by laser light scanning. Fifty-one cases of breast reconstruction following mastectomy (16 cases of rectus a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000200716.82945.b2

    authors: Isogai N,Sai K,Kamiishi H,Watatani M,Inui H,Shiozaki H

    更新日期:2006-03-01 00:00:00

  • The growth of vascularized onlay bone transfers.

    abstract::The growth of vascularized onlay bone (autogenous) transfers on the skulls of 27 newborn New Zealand white rabbits was studied. Freeze-dried bone weight in control newborns and control adults (group 1) was compared with that in experimental adult animals (group 2). In the experimental group, the bone was transferred o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198706000-00008

    authors: LaTrenta GS,McCarthy JG,Cutting CB

    更新日期:1987-06-01 00:00:00

  • Reconstruction of the submammary crease for correction of postoperative deformities in aesthetic and reconstructive breast surgery.

    abstract::This article discusses a method of reconstruction of breast crease for correction of postoperative deformities. These deformities are usually the result of implant insertion for the purpose of breast enlargement or reconstruction. The operation is performed by creating a new crease in the appropriate site by suturing ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200103000-00013

    authors: Massiha H

    更新日期:2001-03-01 00:00:00

  • Management of acute facial powder burns.

    abstract::To evaluate the management and outcome of acute facial powder burns, 10 patients admitted to a burn center (1980-1985) were reviewed. Facial burns resulted from black gun-powder in 7 and fireworks in 3 patients. Most burns occurred in teenage boys (6) and all but 1 were the result of carelessness on the part of the bu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198708000-00009

    authors: Zamboni WA,Eriksson E,Zook EG

    更新日期:1987-08-01 00:00:00

  • Precaruncular approach for the reconstruction of medial orbital wall fractures.

    abstract::To reconstruct medial orbital wall fractures with a clear, least dissection, an alternative method, precaruncular approach, has been performed. We reviewed 36 patients with medial blowout fractures treated with this technique. The incision was made between the caruncle and medial canthal skin at the mucocutaneous junc...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31826a1a75

    authors: You HJ,Kim DW,Dhong ES,Yoon ES

    更新日期:2014-01-01 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

  • Clinically Applied Anatomy: An Impactful Initiative in the Evolution of Medical Education.

    abstract:PURPOSE:Today, medical education emphasizes clinical applications of anatomic knowledge. In 2014, we instituted Clinically Applied Anatomy (CAA) within first-year Human Gross Anatomy at our university. The course was designed and overseen by academic plastic surgery. We hypothesized CAA would positively impact students...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002216

    authors: Sinha SR,Entezampour M,Davis K,Vyas RM

    更新日期:2020-05-01 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

  • A new approach to closure of myelomeningocele defect: z advancement-rotation flap.

    abstract::Because myelomeningocele defects vary in size, shape, and location, no single procedure applies to all. A large number of techniques have been described for closing the back defects occurring after excision of the meningocele sac, but new studies focus more on simple, reliable, and versatile alternatives because large...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318174341d

    authors: Gümüş N

    更新日期:2008-12-01 00:00:00

  • Formation of independently revascularized small-bowel segments using pedicled omental flaps.

    abstract::This represents the initial report of intestinal revascularization with pedicled omental flaps producing bowel segments that are capable of surviving without their native mesenteric perfusion. In 10 mongrel dogs, a pedicled omental flap supplied by the left gastroepiploic arcade was sutured along a seromuscular incisi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199412000-00007

    authors: Rand RP,Jurkiewicz MJ

    更新日期:1994-12-01 00:00:00

  • The ideal split-thickness skin graft donor site dressing: rediscovery of polyurethane film.

    abstract::The almost single disadvantage of polyurethane film dressings, an uncontrolled leakage, is probably as often described as its numerous advantages for split-thickness skin graft donor sites. We solved this problem by perforating the polyurethane film, which permits a controlled leakage into a secondary absorbent dressi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31818790b4

    authors: Dornseifer U,Fichter AM,Herter F,Sturtz G,Ninkovic M

    更新日期:2009-08-01 00:00:00

  • Surgical treatment of painful neuroma in medial antebrachial cutaneous nerve.

    abstract::The branches of the medial antebrachial cutaneous nerve (MACN) are located at the medial site of the elbow. The MACN, especially the posterior branches, may be injured or transected during cubital tunnel surgery or other medial approaches to the elbow. Damage to the nerve can cause a neuroma, which leads to disabling ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200202000-00007

    authors: Stahl S,Rosenberg N

    更新日期:2002-02-01 00:00:00

  • The Biointegration of a Porcine Acellular Dermal Matrix in a Novel Radiated Breast Reconstruction Model.

    abstract:BACKGROUND:Ideal acellular dermal matrices (ADM) for breast reconstruction exhibit native extracellular matrix (ECM) structure to allow rapid biointegration and appropriate mechanical properties for desired clinical outcomes. In a novel in vivo model of irradiated breast reconstruction, we describe the cellular and vas...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002277

    authors: Cottler PS,Sun N,Thuman JM,Bielak KMH,Salopek LS,Piñeros-Fernandez A,Hu S,Campbell CA

    更新日期:2020-06-01 00:00:00

  • The effectiveness of scoring and bipolar diathermy on ear cartilage behavior: ex vivo study.

    abstract::A common unsatisfactory long-term outcome of otoplasty is undercorrection and residual deformity. Aggressive scoring with a scalpel blade can cause unattractive and painful ridging, especially in older patients with stiffer cartilage. We developed an ex vivo pig ear model to compare the effectiveness of bipolar diathe...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000237684.42771.10

    authors: Qureshi TR,Hurren JS,Gourlay T

    更新日期:2007-03-01 00:00:00

  • V-Y in V-Y procedure: new technique for augmentation and protrusion of the upper lip.

    abstract::A new surgical technique for upper lip augmentation is presented. In this technique, 2 vertically parallel V-shaped incisions placed in a "V in V" fashion are used. Remarkable augmentation of the lip is provided by V-to-Y closure of the incisions. Over 7 years, this new technique, namely, V-Y in V-Y procedure, was use...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000205774.40210.58

    authors: Mutaf M

    更新日期:2006-06-01 00:00:00

  • A rigid transparent face mask for control of scar hypertrophy.

    abstract::A rigid transparent face mask of cellulose acetate butyrate was developed for the control of scar hypertrophy in the burned face. Excellent patient acceptance has been found in a six-year series of 97 patients. Use of the device for at least twenty hours a day for an average of one and a half years per patient has ena...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198103000-00014

    authors: Shons AR,Rivers EA,Solem LD

    更新日期:1981-03-01 00:00:00

  • Negative Pressure Wound Therapy in Conjunction With Artificial Dermis for Burned Hand Reconstruction.

    abstract:INTRODUCTION:Proper wound care along with the use of skin grafts over deep burn wounds has been the standard treatment. However, the goal in burn wound care has shifted from achieving a satisfactory survival rate to improving long-term form and function of the healed wound, which is sometimes hindered by scar contractu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002676

    authors: Ou KL,Tzeng YS,Liu HH,Wu CJ,Chen CY,Chou YY,Hsu KF,Wang CH,Dai NT,Chang CK

    更新日期:2021-02-01 00:00:00

  • Angiographic analysis of the first metatarsal arteries and its clinical applications.

    abstract::Twenty-five feet (18 patients) plus 2 traumatically amputated feet were used for angiographic analysis of the first metatarsal arteries. The author classified the first (dorsal and plantar) metatarsal arteries into three types: the first dorsal metatarsal artery, dominant type (seen in 17 feet), the first plantar meta...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198107000-00002

    authors: Ohtsuka H

    更新日期:1981-07-01 00:00:00

  • The hemostatic effect of conjugated water-soluble estrogens in rats.

    abstract::Estrogenic steroids have been used as hemostatic agents in various surgical procedures in humans. Their use to reduce bleeding has been based mainly on clinical observation. The present study was carried out to test experimentally whether intravenously administered Premarin reduces capillary bleeding. Skin-graft donor...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198205000-00005

    authors: Tsur H,Rasner C,Shafir R,Sampson S

    更新日期:1982-05-01 00:00:00

  • Efficacy of positively charged ion exchange beads in radiation-impaired models of wound healing.

    abstract::We have previously demonstrated in a rat surgical incision model that charged dextran beads enhance wound repair in a charge-specific manner: positively charged beads increased wound breaking strength (WBS), whereas neutral or negatively charged beads were ineffective. The present work extends these observations into ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199606000-00008

    authors: Galiano RD,Jyung RW,Krukowski M,Mustoe TA

    更新日期:1996-06-01 00:00:00

  • The effect of endogenous skin bacteria on burn wound infection.

    abstract::Burn wound sepsis can be due to exogenous or endogenous bacteria. When rare organisms cause infection, exogenous sources are implicated. This sets into motion hospital infection control team searches, which are both exhausting and harassing to patients and staff. This study examines the skin bacteria present at admiss...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198907000-00007

    authors: Phillips LG,Heggers JP,Robson MC,Boertman JA,Meltzer T,Smith DJ Jr

    更新日期:1989-07-01 00:00:00

  • The Effect of Financial Conflicts of Interest in Plastic Surgery Literature.

    abstract::Medical research has a long history of joint venture between commercial entities and nonindustry researchers. Significant concern exists among accrediting bodies for medical education and federal granting agencies that conflicts of interest (COIs) exist that affect the validity of the research. This study evaluates th...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000672

    authors: Leavitt A,Pace E,Reintgen C,Mast BA

    更新日期:2016-06-01 00:00:00

  • An alternative dressing material for the split-thickness skin graft donor site: oxidized regenerated cellulose.

    abstract::The split-thickness skin graft (STSG) donor sites have been treated with various and plenty of dressing techniques and materials. An ideal STSG donor site dressing should have antibacterial, hemostatic, and promoting epidermal healing properties. We have performed a prospective study to evaluate the effect of the oxid...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000208945.12083.59

    authors: Uysal AC,Alagoz MS,Orbay H,Sensoz O

    更新日期:2006-07-01 00:00:00

  • Ptosis Sensitivity Threshold for the Lay Observer.

    abstract:PURPOSE:This study aims to understand the degree to which ptosis is recognizable to a layperson. METHODS:Fifteen color drawings of a gender-neutral human face were created. Six faces exhibited right-sided ptosis (decreased margin reflex distance 1 and lengthened tarsal platform show) of 0.5 mm, 1 mm, 1.5 mm, 2 mm, 2.5...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001524

    authors: Gordon MJ,Christenbury JG,Bokman CL,Rootman DB,Goldberg RA

    更新日期:2018-09-01 00:00:00

  • Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population.

    abstract:BACKGROUND:The use of internal mammary perforators (IMPs) as recipient vessels in autologous free flap breast reconstruction has many additional benefits compared with the internal mammary or thoracodorsal vessels. Our goals were to analyze the characteristics of these vessels and to evaluate the reliability of using t...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/SAP.0b013e318270704b

    authors: Halim AS,Alwi AA

    更新日期:2014-08-01 00:00:00

  • The reminiscences of a plastic surgeon during World War II.

    abstract::The experiences of the author while an Officer in the South African Medical Corps are related. During the battle of Britain he was attached to the R.A.M.C. and observed the work of pioneers in modern military plastic surgery. On his return to South Africa, he set up the Brenthurst Military Red Cross Hospital for Plast...

    journal_title:Annals of plastic surgery

    pub_type: 历史文章,杂志文章

    doi:

    authors: Penn J

    更新日期:1978-01-01 00:00:00

  • Commissuroplasty and myoplasty for macrostomia.

    abstract::The morphology of macrostomia and a method of myoplasty and commissuroplasty are described. The important operative considerations are accurate commissure positioning, muscle reconstruction, obliteration of the lateral subdermal groove, placement of a vermilion flap across the commissure, and Z-plasty of skin in the n...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198108000-00010

    authors: Kaplan EN

    更新日期:1981-08-01 00:00:00

  • Comparison of mammography, sonography, and magnetic resonance imaging in the detection of silicone-gel breast implant rupture.

    abstract::Silicone-gel breast implant rupture is difficult to diagnose preoperatively. A variety of radiological methods have been used for diagnosis. This study prospectively compares film-screen mammography, high-resolution sonography, and magnetic resonance imaging in the diagnosis of implant rupture using predetermined diag...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199409000-00003

    authors: Reynolds HE,Buckwalter KA,Jackson VP,Siwy BK,Alexander SG

    更新日期:1994-09-01 00:00:00

  • Reconstruction of Soft Tissue Defects Around the Knee With Pedicled Perforator Flaps.

    abstract:PURPOSE:To study the availability and effects for application of 4 kinds of perforator flaps in repairing skin and soft tissue defects in different positions around the knee joints. METHODS:The present study included 26 cases (16 males and 10 females) with soft tissue defects with ages from 7 to 82 years who came to o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001544

    authors: Li Z,Li P,Tan Q

    更新日期:2018-10-01 00:00:00