Evidence map›Paper›PMID 33608754›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022

Soft-tissue reconstruction after soft-tissue sarcoma resection: the clinical outcomes of 24 patients.

Hideo Hasegawa, Shinji Tsukamoto, Kanya Honoki, Takamasa Shimizu, Lorenzo Ferra, Costantino Errani, Spyros Sioutis, Andreas F Mavrogenis, Yasuhito Tanaka

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. 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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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hideo HasegawaDepartment of Orthopaedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8521, Japan.
Shinji TsukamotoDepartment of Orthopaedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8521, Japan. shinji104@mail.goo.ne.jp.ORCID http://orcid.org/0000-0002-8419-2008
Kanya HonokiDepartment of Orthopaedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8521, Japan.
Takamasa ShimizuDepartment of Orthopaedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8521, Japan.
Lorenzo FerraDepartment of Orthopaedic Oncology, IRCCS Rizzoli Institute, Bologna, Italy.
Costantino ErraniDepartment of Orthopaedic Oncology, IRCCS Rizzoli Institute, Bologna, Italy.
Spyros SioutisDepartment of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Andreas F MavrogenisDepartment of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Yasuhito TanakaDepartment of Orthopaedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8521, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePedicle or free-flap reconstruction is important in surgical sarcoma management. Free flaps are indicated only when pedicle flaps are considered inadequate; however, they are associated with a higher risk of flap failure, longer surgical times, and technical difficulty. To determine the skin defect size that can be covered by a pedicle flap, we investigated the clinical outcomes and complications of reconstruction using pedicle flaps vs. free flaps after sarcoma resection.

methodsWe retrospectively studied the medical records of 24 patients with soft-tissue sarcomas who underwent reconstruction using a pedicle (n = 20) or free flap (n = 4) following wide tumour resection.

resultsAll skin defects of the knee, lower leg, and ankle were reconstructed using a pedicle flap. Skin defects of the knee, lower leg, and ankle were covered by up to 525 cm

conclusionLess blood loss, shorter surgical time, and lower risk of total flap necrosis are notable advantages of pedicle flaps over free flaps. Most skin defects, even large ones, of the lower extremities following sarcoma resection can be covered using a single pedicle flap or multiple pedicle flaps.

Indexed as

Plastic Surgery ProceduresSarcomaSoft Tissue InjuriesSoft Tissue NeoplasmsHumansRetrospective StudiesSurgical FlapsExtremitiesFlap reconstructionResectionSarcomas

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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.