Evidence map›Paper›PMID 40291324›Full record

ArticleCureus2025

Filling the Depths: Innovative Vertical Rectus Abdominis Myocutaneous (VRAM) Flap Reconstruction in a Complex Deep Tissue Pressure Injury.

Amber R Jacobson, Jonathan Sarik, Hamdan Mallick, Lynnsey M Rebner, Annika Surapaneni

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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
–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

0 citing papers in PubMed.

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.

Amber R JacobsonGeneral Surgery, Bayhealth Medical Center, Dover, USA.
Jonathan SarikPlastic Surgery, Bayhealth Medical Center, Dover, USA.
Hamdan MallickMedicine, Bayhealth Medical Center, Dover, USA.
Lynnsey M RebnerGeneral Surgery, Bayhealth Medical Center, Dover, USA.
Annika SurapaneniMedicine, Drexel University College of Medicine, Philadelphia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep tissue injuries (DTIs) pose significant reconstructive challenges, particularly when involving extensive soft tissue loss and exposure of vital structures. We report a case of a 69-year-old male with multiple comorbidities who developed a complex, full-thickness trochanteric wound following prolonged immobilization after a cardiac event. The injury, characterized by a 19 x 9 cm defect with compromised surrounding tissues - including the tensor fascia - precluded the use of conventional local flaps. Given the size and depth of the defect, a pedicled vertical rectus abdominis myocutaneous (VRAM) flap was selected for its robust vascularity, versatility, and ability to provide ample soft tissue bulk. Complete healing was observed at the six-month follow-up visit with no evidence of abdominal wall compromise or functional deficit. This case illustrates that the VRAM flap is a reliable and effective option for the reconstruction of large, complex DTIs in the proximal lower extremity, particularly when local flap options are compromised.

Indexed as

deep tissue injury (dti)fascio-cutaneous flapsurgical technique wound closurevertical rectus abdominis myocutaneous (vram) flapwound repair

Identifiers

PMID40291324
PMCPMC12033053

What OpenQuestion holds

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Registered trials

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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.