ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2023
Unusual case of a free anterolateral thigh flap partial necrosis in a COVID-19 positive young male following extremity reconstruction.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 4 citations in OpenAlex.
- ACE2 gene expression in skin and subcutaneous tissues of free flaps.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Staphylococcus Scalded Skin Syndrome-Induced Thrombosis Leading to Free Flap Complications: A Case Report and Review.Cureus · 2024Article
- How Black is Black?: The Curious Case of Lower Extremity Reconstruction with Free Anterolateral Thigh Flaps with a Phenomenon of Complete Dermal Necrosis but Viable Sub-Dermal Components.Journal of the West African College of SurgeonsArticle
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7 authors at 2 institutions in 1 country.
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Abstract
Free flap procedure provides an overall success rate of 97%, which decreases to 85% in hypercoagulable states. COVID-19, as a pro-thrombotic disorder, therefore seems detrimental to free flap survival. We encountered a case of unique pattern of free flap partial failure in a young male who underwent extremity reconstruction. The patient was diagnosed as COVID-19 positive on the 3rd day post-reconstruction. The flap survived well for the first 7 days post-operatively, but gradually the skin got necrosed and the subcutaneous fat layer was preserved when debriding. To our knowledge, this is the only case in which the skin of the free flap of a COVID-19 positive patient was necrosed almost entirely subsequently, while the subcutaneous fat was relatively preserved.
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