Evidence map›Paper›PMID 37512018›Full record

ArticleMedicina (Kaunas, Lithuania)2023

Simultaneous Free Fibula and Anterolateral Thigh Flap in Lower Extremity Reconstruction Following Osteomyelitis in a Trauma Patient: A Case Report.

Tadej Voljc, Michael Schintler, Anna Vasilyeva, Lars-Peter Kamolz, Heinz Buerger

Open access · goldAbstract readCase Reports
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 1 institution in 1 country.

Tadej VoljcDivision of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, University Hospital Graz, 8036 Graz, Austria.ORCID 0009-0005-4166-676X
Michael SchintlerDivision of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, University Hospital Graz, 8036 Graz, Austria.
Anna VasilyevaDivision of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, University Hospital Graz, 8036 Graz, Austria.
Lars-Peter KamolzDivision of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, University Hospital Graz, 8036 Graz, Austria.ORCID 0000-0002-5975-876X
Heinz BuergerDivision of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, University Hospital Graz, 8036 Graz, Austria.
Graz University Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report focuses on a 17-year-old polytrauma patient who suffered a septic wound infection after an open reduction and internal fixation (ORIF) and soft tissue reconstruction with a pedicled flap, which led to a substantial bone and soft tissue defect of the lower leg. After thorough antibiotic treatment and after ensuring a non-septic wound, the defect was reconstructed using a contralateral free fibula flap designed as a flow through flap in a double loop manner to accommodate two fibular fragments and an ipsilateral ALT flap. Early weight bearing was initiated 11 days after the free flap transfer under external fixation, with full weight bearing achieved in 36 days with external fixation. After the removal of external fixation, full weight bearing was able to be reinitiated after 13 days, leading to the patient's return to normal activity 6 months after the bony reconstruction. This case presents an innovative approach to treating a complex defect, with the final decision on using two separate free flaps instead of a single osteofasciocutaneous free flap resulting in a good bony reconstruction and soft tissue coverage, and with the use of external fixation enabling early rehabilitation.

Indexed as

Free Tissue FlapsOsteomyelitisPlastic Surgery ProceduresAdolescentFibulaHumansLower ExtremityThighTreatment Outcomebonecase reportfree tissue flapsinfectionlower extremitymicrosurgery

Identifiers

PMID37512018
PMCPMC10384821
OpenAlexW4382278302

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.