Evidence map›Paper›PMID 35399404›Full record

ArticleCureus2022

Immediate Versus Late Flap Coverage for Traumatic Soft Tissue Defects of Lower Extremity: A Comparative Observational Study.

Vishal Patil, Bhaskar Sarkar, Mohd Altaf Mir, Quamar Azam, Madhur Uniyal, Ajay Kumar, Vishal Mago, Nilesh Jagne, Divakar Goyal, Rajesh Maurya

Abstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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.

  1. Article
  2. Review
4 · The record

Corrections and comments

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

10 authors.

Vishal PatilTrauma Surgery and Critical care, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Bhaskar SarkarTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Mohd Altaf MirBurns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.
Quamar AzamTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Madhur UniyalTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Ajay KumarTrauma Surgery and Critical care, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Vishal MagoBurns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Nilesh JagneTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Divakar GoyalTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Rajesh MauryaBurns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The lower extremity trauma in patients often gets operated on late for the wound coverage and is associated with more health costs and other resources. Therefore, this study has been conducted to compare the outcome in terms of flap survival, complication rates, and hospital stay between immediate and late flap coverage of lower extremity traumatic wounds. Methods The comparative analysis of outcome is done in terms of flap survival, complication rates, and hospital stay after immediate and late flap coverage of 25 (n = 25) patients of lower extremity traumatic wounds in each group. The patients were observed, and data obtained were tabulated in a Microsoft Excel spreadsheet. The statistical analysis was done using IBM SPSS (V26.0, IBM Corporation, Armonk, NY, USA) statistical software. The chi-square test was used for descriptive data and the student's unpaired t-test for discrete-continuous data analysis. The p-value of less than 0.05 is considered significant. Results The mean defect size with SD in the immediate flap cover group is 54.5 ± 29.5 cm2, while in the late flap cover group, it is 85 ± 65 cm2 with a significant p-value of 0.0378. The mean flap size with SD in the immediate flap coverage group is 70.5 ± 34.5 cm2, while in the late flap coverage group, it is 117 ± 87.5 cm2, and the difference is statistically significant. The mean hospital stay with SD in the immediate flap coverage group is 7.5 ± 2.5 days. In contrast, in the late flap coverage group, it is 29.5 ± 8.5 days, and the difference is statistically very significant. Conclusion There are equivalent results in patients undergoing immediate and late flap coverage for the traumatic soft tissue defects of the lower extremity. There is a significant decrease in the hospital stay after immediate flap reconstruction, which subsequently reduces both direct and indirect health costs. However, there is a larger size flap requirement in cases of immediate lower extremity wound coverage.

Indexed as

extremity injuryflap coverageimmediate reconstructionlate reconstructionlower limb trauma

Identifiers

PMID35399404
PMCPMC8980228

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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.