Emergency free-flap transfer for reconstruction of acute complex extremity wounds.

Abstract:

:Nine patients with complex extremity injuries were treated with emergency free-flap transfers over a 3 1/2-year period. The transferred emergency free flaps were performed to cover exposed vital structures. All flaps survived without infection. Complete and careful assessment of the systemic condition of the patient and the nature of the injured extremity is mandatory. Emergency free-flap transfers may salvage the limb or finger and may improve the functional and aesthetic results with the shortest possible hospital stay.

journal_name

Plast Reconstr Surg

authors

Chen SH,Wei FC,Chen HC,Chuang CC,Noordhoff MS

subject

Has Abstract

pub_date

1992-05-01 00:00:00

pages

882-8; discussion 889-90

issue

5

eissn

0032-1052

issn

1529-4242

journal_volume

89

pub_type

杂志文章
  • Restoring abdominal wall integrity in contaminated tissue-deficient wounds using autologous fascia grafts.

    abstract::Necrotizing abdominal wall infections, enteric fistulae, or exposed prosthetic material after ventral hernia repair often results in a loss of abdominal wall integrity. Further surgical reconstruction with prosthetic material is usually contraindicated in the contaminated wound because of the high infection rate neces...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199804040-00014

    authors: Disa JJ,Goldberg NH,Carlton JM,Robertson BC,Slezak S

    更新日期:1998-04-01 00:00:00

  • Improving long-term breast shape with the medial pedicle wise pattern breast reduction.

    abstract:BACKGROUND:Reduction mammaplasty has both a reconstructive and an aesthetic component. Relief of neck, back, and shoulder pain, as well as psychosocial improvement, is the main indication for intervention. Patient satisfaction is high, with early improvement in most cases. Preoperative planning confirms the anatomical ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000165085.23537.a7

    authors: Abramson DL,Pap S,Shifteh S,Glasberg SB

    更新日期:2005-06-01 00:00:00

  • Photoaged Skin Therapy with Adipose-Derived Stem Cells.

    abstract:BACKGROUND:The major intrinsic cause of facial skin degeneration is age, associated with extrinsic factors such as exposure to sun. Its major pathologic causes are degeneration of the elastin matrix, with loss of oxytalan and elaunin fibers in the subepidermal region, and actinic degeneration of elastin fibers that los...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/PRS.0000000000006867

    authors: Charles-de-Sá L,Gontijo-de-Amorim NF,Rigotti G,Sbarbati A,Bernardi P,Benati D,Bizon Vieira Carias R,Maeda Takiya C,Borojevic R

    更新日期:2020-06-01 00:00:00

  • Age-dependent closure of bony defects after frontal orbital advancement.

    abstract:BACKGROUND:The ability of the immature skull to spontaneously heal large bony defects created after craniofacial procedures was examined over a 25-year period of craniofacial surgery at the Children's Hospital of Philadelphia. METHODS:Only patients who underwent frontal orbital advancement and reconstruction, had at l...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000232353.44086.af

    authors: Paige KT,Vega SJ,Kelly CP,Bartlett SP,Zakai E,Jawad AF,Stouffer N,Whitaker LA

    更新日期:2006-09-15 00:00:00

  • A prospective study comparing the functional impact of SIEA, DIEP, and muscle-sparing free TRAM flaps on the abdominal wall: Part II. Bilateral reconstruction.

    abstract:BACKGROUND:The purpose of this study was to demonstrate the impact of bilateral free flap breast reconstruction on the abdominal wall. This is the second installation of a two-part series. Presented here are bilateral combinations of three techniques: the muscle-sparing free transverse rectus abdominis musculocutaneous...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181ea42ed

    authors: Selber JC,Fosnot J,Nelson J,Goldstein J,Bergey M,Sonnad S,Serletti JM

    更新日期:2010-11-01 00:00:00

  • Basal cell carcinoma in the groin of a black patient with femoral vessel invasion and a second primary malignancy.

    abstract::We have presented an unusual case of basal cell carcinoma that presented in a 76-year-old black woman. This is an atypical case in that it occurred in a black patient, and the incidence of basal cell carcinoma is low in black people. The lesion was located in the groin, which is an uncommon location for basal cell car...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199610000-00022

    authors: Beckenstein MS,Windle BH

    更新日期:1996-10-01 00:00:00

  • Use of lateral upper arm free flaps for soft-tissue reconstruction of the contracted eye socket.

    abstract:BACKGROUND:Severe orbital soft-tissue loss and contracted eye sockets often present in patients who have had enucleation, exenteration, or other ocular diseases. In this article, the authors report a novel contracted eye socket reconstruction technique using lateral upper arm free flaps and review the surgical outcome ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000133

    authors: Li Y,Song H,Liu J,Li D

    更新日期:2014-05-01 00:00:00

  • Functional return of tendon graft protected entirely by pseudosheath--experimental study.

    abstract::Sixty-three white Leghorn chickens were used in a two-stage tendon grafting into the deep flexor of the third toe. In the first stage, a 4- or 8-week-old pseudosheath was created around the Silastic rod. In the second stage, the grafting was carried out: in 33 birds the new sheath covered the entire tendon graft and i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198002000-00011

    authors: Farkas LG,Lindsay WK

    更新日期:1980-02-01 00:00:00

  • Calcification properties of saline-filled breast implants.

    abstract::Three patients requested explantation of their saline-filled breast implants. Bilateral calcification had occurred in all six implants. Four of the implants were manufactured by McGhan Corporation (Santa Barbara, Calif.), and two, by the Simaplast Company (Toulon, France). All implants had been inserted in the subglan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200102000-00010

    authors: Peters W,Smith D,Lugowski S,Pritzker K,Holmyard D

    更新日期:2001-02-01 00:00:00

  • Long-term persistence of tissue-engineered adipose flaps in a murine model to 1 year: an update.

    abstract:BACKGROUND:Tissue engineering of patient-specific adipose tissue has the potential to revolutionize reconstructive surgery. Numerous models have been described for the production of adipose tissue with success in the short term, but little has been reported on the stability of this tissue-engineered fat beyond 4 months...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181b59ff6

    authors: Findlay MW,Messina A,Thompson EW,Morrison WA

    更新日期:2009-10-01 00:00:00

  • Clinical determinants of patient satisfaction with breast reconstruction.

    abstract::The main objective of this study was to examine the relationship between specific treatment variables and patient satisfaction with breast reconstruction. A questionnaire was developed that included questions on population demographics and satisfaction with the reconstruction. Of 206 women who completed the questionna...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200101000-00008

    authors: Andrade WN,Baxter N,Semple JL

    更新日期:2001-01-01 00:00:00

  • Mandibular condylar growth alterations after unilateral partial facial paralysis: an experimental study in the rabbit.

    abstract::In a previous study in the rabbit, the authors defined the macroscopic growth alterations after unilateral partial facial paralysis. Dry skull measurements revealed a reduced premaxillary, maxillary, mandibular, and anterior corpus length with a simultaneous increase in mandibular ramal height on the paralyzed side. T...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200201000-00028

    authors: Sinsel NK,Opdebeeck H,Guelinckx PJ

    更新日期:2002-01-01 00:00:00

  • Rapid histochemical identification of motor and sensory fascicles: preparation of solutions.

    abstract::We report a rapid and inexpensive staining method for identification of motor and sensory fibers within 1 hour (intraoperatively). This method should be easy to use in any hospital where frozen histologic sectioning is available. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199209000-00029

    authors: Kanaya F,Jevans AW

    更新日期:1992-09-01 00:00:00

  • An evidence-based approach to the treatment of nonmelanoma facial skin malignancies.

    abstract::The Maintenance of Certification module series is designed to help the clinician structure his or her study in specific areas appropriate to his or her clinical practice. This article is prepared to accompany practice-based assessment of preoperative assessment, anesthesia, surgical treatment plan, perioperative manag...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318204aeb2

    authors: Rogers CR,Bentz ML

    更新日期:2011-02-01 00:00:00

  • Paranasal implants for correction of midface concavity.

    abstract::Central midface concavity was corrected with the placement of porous polyethylene implants in the paranasal area. This simulated the effect of skeletal osteotomies and advancement without altering dental occlusion. Implants were placed to correct congenital, posttraumatic, and cleft-related skeletal midface retrusion ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199810000-00055

    authors: Yaremchuk MJ,Israeli D

    更新日期:1998-10-01 00:00:00

  • Lamellar split osteotomy: a new craniofacial technique.

    abstract::Craniofacial osteotomies have by convention been bilamellar translocations of the entire substance of the dysmorphic bone. This approach limits the surgeon by reducing the stable bone mass available for fixation, creating dependence on concave surfaces. Most important, it changes the bony topography that determines th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Salyer KE,Hall CD,Joganic EF

    更新日期:1990-11-01 00:00:00

  • Cranio-orbital correction for massive enlargement of the cranial vault.

    abstract::A case is reported in which an immense cranial vault was reduced as part of the rehabilitation of a patient with severe hydrocephalus who had preservation of the intellect. This patient was selected carefully, and we do not advocate such procedures on every hydrocephalic. This patient was recumbent and bedridden prior...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197904000-00004

    authors: Vries JK,Habal MB

    更新日期:1979-04-01 00:00:00

  • Augmentation of the free border of the lip in cleft lip patients using temporoparietal fascia.

    abstract::Deficiency of the free border of the lip is frequently encountered in secondary cleft lip deformities. The free border of the lip consists of the orbicularis oris marginalis muscle and its overlying subcutaneous tissue, vermilion, and mucosa. The pathology may involve any or all of these components. When there is an a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Chen PK,Noordhoff MS,Chen YR,Bendor-Samuel R

    更新日期:1995-04-01 00:00:00

  • Advanced technologies in plastic surgery: how new innovations can improve our training and practice.

    abstract::Over the last two decades, virtual reality, haptics, simulators, robotics, and other "advanced technologies" have emerged as important innovations in medical learning and practice. Reports on simulator applications in medicine now appear regularly in the medical, computer science, engineering, and popular literature. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000138242.60324.1d

    authors: Grunwald T,Krummel T,Sherman R

    更新日期:2004-11-01 00:00:00

  • Facial cleft no. 1.

    abstract::The anomaly of facial cleft no. 1 has been encountered recently. It is a rare finding and, accordingly, is being reported with the hope that more craniofacial clefts will be seen in the future and direct the attention of the medical community to the problems. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199412000-00022

    authors: Suwantemee C

    更新日期:1994-12-01 00:00:00

  • Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps.

    abstract::The free anterolateral thigh flap is becoming one of the most preferred options for soft-tissue reconstruction. Between June of 1996 and August of 2000, 672 anterolateral thigh flaps were used in 660 patients at Chang Gung Memorial Hospital. Four hundred eighty-four anterolateral thigh flaps were used for head and nec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200206000-00007

    authors: Wei FC,Jain V,Celik N,Chen HC,Chuang DC,Lin CH

    更新日期:2002-06-01 00:00:00

  • The genioplasty and beyond: an end-game strategy for the multiply operated chin.

    abstract:BACKGROUND:Genioplasty has been a useful and frequently employed technique. In previous publications, the authors discussed the benefits and versatility of the genioplasty. Here, they briefly examine the entire experience of the senior author, from 1975 to the present. METHODS:The authors examined a series of 580 geni...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000209461.99737.ed

    authors: Wolfe SA,Rivas-Torres MT,Marshall D

    更新日期:2006-04-15 00:00:00

  • Factors Associated with Primary and Secondary Amputation following Limb-Threatening Upper Extremity Trauma.

    abstract:BACKGROUND:The aim of this study was to assess the factors associated with primary and secondary amputation in patients with limb-threatening trauma to the upper extremity, describe the incidence of these injuries, and describe the procedures involved in the treatment of these difficult injuries. METHODS:A retrospecti...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PRS.0000000000006644

    authors: Nawijn F,Westenberg RF,Langhammer CG,Chen NC,Eberlin KR

    更新日期:2020-04-01 00:00:00

  • Reconstruction of ear, eyebrow, and sideburn in the burned patient.

    abstract::Some new variations are described for partial and total ear reconstructions, eyebrow reconstructions, and sideburn reconstructions in burned patients. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Brent B

    更新日期:1975-03-01 00:00:00

  • Recent Canadian plastic surgery graduates: are they prepared for the real world?

    abstract:BACKGROUND:The purpose of this study was to evaluate the correlation between plastic surgery education received through residency in Canadian programs and perceived preparedness for independent clinical practice among recently graduated plastic surgeons. METHODS:All practicing plastic surgeons having graduated from a ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181cb6128

    authors: Ferron CE,Lemaine V,Leblanc B,Nikolis A,Brutus JP

    更新日期:2010-03-01 00:00:00

  • Bibliometric indices and academic promotion within plastic surgery.

    abstract:BACKGROUND:Bibliometric indices are proposed measures to quantitatively and qualitatively evaluate scholarly output within academic medicine. The authors sought to validate bibliometric indices as an indicator of academic productivity within plastic surgery and their association with promotion of faculty surgeons in ac...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000594

    authors: Gast KM,Kuzon WM Jr,Waljee JF

    更新日期:2014-11-01 00:00:00

  • A prospective cohort study of fibula free flap donor-site morbidity in 157 consecutive patients.

    abstract:BACKGROUND:Although the fibula free flap is preferred for bony head and neck reconstruction, donor-site morbidity remains a concern. The authors' goal was to evaluate potential risk factors for complications and whether the type of wound closure and timing of postoperative ambulation had an effect on the development of...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318221dc2a

    authors: Momoh AO,Yu P,Skoracki RJ,Liu S,Feng L,Hanasono MM

    更新日期:2011-09-01 00:00:00

  • Evaluation of fibrin glue in rat sciatic nerve repairs.

    abstract::Using the rat sciatic nerve model, we evaluated the merits of homologous fibrin glue in the repair of peripheral nerve transections as compared to standard epineural suture repairs. A total of four study groups were used, with 10 animals assigned to each group. In group I, the transected sciatic nerve was repaired wit...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198609000-00015

    authors: Cruz NI,Debs N,Fiol RE

    更新日期:1986-09-01 00:00:00

  • Assessment of skin flaps using optically based methods for measuring blood flow and oxygenation.

    abstract::The objective of this study was to compare two noninvasive techniques, laser Doppler and optical spectroscopy, for monitoring hemodynamic changes in skin flaps. Animal models for assessing these changes in microvascular free flaps and pedicle flaps were investigated. A 2 x 3-cm free flap model based on the epigastric ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000148415.54546.ca

    authors: Payette JR,Kohlenberg E,Leonardi L,Pabbies A,Kerr P,Liu KZ,Sowa MG

    更新日期:2005-02-01 00:00:00

  • Advanced cranial reconstruction using intracranial free flaps and cranial bone grafts: an algorithmic approach developed from the modern battlefield.

    abstract:BACKGROUND:The objective of this study was to report outcomes after initiation of an algorithmic approach (Bethesda protocol) using intracranial free flaps, cranial bone autografts, and dermal/fat grafts to treat warfare-related cranial frontofacial defects after war-related decompressive craniectomy. METHODS:A retros...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318267d5cb

    authors: Kumar AR,Tantawi D,Armonda R,Valerio I

    更新日期:2012-11-01 00:00:00