Evidence map›Paper›PMID 31628516›Full record

ArticleInternational orthopaedics2019

Reconstruction of composite leg defects post-war injury.

Reem A Karami, Fadi M Ghieh, Rawad S Chalhoub, Said S Saghieh, Suhail A Lakkis, Amir E Ibrahim

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Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Reem A KaramiDepartment of Surgery, Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Cairo Street, Beirut, Lebanon.
Fadi M GhiehDepartment of Surgery, Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Cairo Street, Beirut, Lebanon.
Rawad S ChalhoubDepartment of Surgery, Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Cairo Street, Beirut, Lebanon.
Said S SaghiehDepartment of Surgery, Division of Orthopedic Surgery, American University of Beirut Medical Center, Cairo Street, Beirut, Lebanon.
Suhail A LakkisDepartment of Surgery, Division of Orthopedic Surgery, American University of Beirut Medical Center, Cairo Street, Beirut, Lebanon.
Amir E IbrahimDepartment of Surgery, Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Cairo Street, Beirut, Lebanon. amir.ibrahim78@gmail.com.ORCID 0000-0002-1157-1584

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn a high conflict region, war injuries to the distal lower extremity are a major source of large composite defects involving bone and soft tissues. These defects are at the edge between using a single free flap [osteo-(+/-myo) cutaneous] vs double free flap reconstruction (bone and soft tissue). In this paper, we present our experience and outcomes in treating patients with leg war injury reconstructed using a single free fibula flap.

methodsFifteen patients with distal leg composite defects secondary to war injuries were treated between January 2015 and March 2016. All patients were reconstructed using single barrel free fibula osteo-(+/-myo)cutaneous flap where single or double skin paddles were used according to the soft tissue defect requiring coverage.

resultsThere were no cases of total or partial flap loss. Complications were limited to three cases including traumatic fibula fracture, venous congestion with negative findings, and residual soft tissue defect requiring coverage. There were no cases of wound dehiscence or infection. Mean follow-up time was 418.8 days. Mean bone healing time was nine months after which patients were allowed full weight bearing.

conclusionA single barrel free fibula osteo-(+/-myo)cutaneous flap is a valid and reliable tool for reconstruction composite lower extremity defects post-war injury. Adequate planning of fibula flap soft tissue components (skin, muscle) rearrangement is essential for success in such challenging reconstructions.

Indexed as

AdolescentAdultChildFemaleFibulaFractures, BoneFree Tissue FlapsHumansLeg InjuriesMaleMiddle AgedPlastic Surgery ProceduresYoung AdultFree fibula flapLower extremity reconstructionMicrosurgeryReconstructive surgeryWar injury

Identifiers

PMID31628516

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.