Long Term Follow-up of Composite Flaps for Single-stage Reconstruction of Concomitant Tendon and Soft Tissue Defects. (Record no. 876)

MARC details
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fixed length control field 03822nam a22004697a 4500
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fixed length control field 220221s20222022 xxu||||| |||| 00| 0 eng d
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1097/GOX.0000000000004023 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC8757995 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 35047323
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Title Long Term Follow-up of Composite Flaps for Single-stage Reconstruction of Concomitant Tendon and Soft Tissue Defects.
251 ## - Source
Source Plastic and Reconstructive Surgery - Global Open. 10(1):e4023, 2022 Jan.
252 ## - Abbreviated Source
Abbreviated source Plast. reconstr. surg., Glob. open. 10(1):e4023, 2022 Jan.
253 ## - Journal Name
Journal name Plastic and reconstructive surgery. Global open
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Year 2022
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Manufacturer FY2022
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Publication date 2022 Jan
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2022-02-21
520 ## - SUMMARY, ETC.
Abstract Conclusions: Simultaneous reconstruction of tendinous injuries and soft tissue defects can be readily achieved via composite free flaps. Although other methods of reconstruction can be considered for smaller soft tissue and tendon loss, this approach has significant utility for patients with large defects and yields robust return to preinjury functionality. Copyright (c) 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
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Abstract Methods: A retrospective review of all patients requiring free tissue transfer at our tertiary wound care center between 2011 and 2020 was performed. Patients undergoing single-stage free tissue transfer for both soft tissue coverage and tendon reconstruction were selected. Variables of interest included demographics, comorbid conditions, baseline functionality, reconstructive details, and wound characteristics. Outcomes of interest were flap success, return to ambulation, time to ambulation, and postoperative complications.
520 ## - SUMMARY, ETC.
Abstract Results: Nineteen patients were included in this study. Patients were on average 48.0 years old (SD 16.5), with a median Charlson Comorbidity Index of 1.00 (IQR: 0.0-2.5). Defects were most often on the ankle (n = 1 3, 68.4%), with extension to the foot or leg in six of these cases. Median wound size was 68.0 cm2 (IQR: 48.0-120.0). The most common tendon requiring reconstruction was the Achilles (n = 13, 68.4%). An anterolateral thigh flap with attached fascia lata extension rolled into a neotendon was used in all 19 cases. At baseline, all patients were ambulatory. Only one patient (5.3%) required return to the operating room for suspected vascular compromise. At a median of 14.4 months (IQR: 8.5-40.5), all 19 patients were ambulatory.
520 ## - SUMMARY, ETC.
Abstract Tendon rupture in the setting of significant soft tissue loss poses a challenging reconstructive situation, which requires (1) recreating a stable gait cycle, (2) reducing shear forces and re-rupture risk, and (3) providing adequate soft tissue coverage. In this study, we outline our experience with composite flaps in single-step reconstruction of various lower extremity tendinous injuries with soft tissue loss.
546 ## - LANGUAGE NOTE
Language note English
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
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Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
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Department Plastic Surgery Residency
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Department Plastic Surgery Residency
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Department Plastic Surgery Residency
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Department Surgery/Plastic Surgery
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Medline publication type Journal Article
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Local Authors Attinger, Christopher
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Local Authors Bekeny, Jenna
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Local Authors Fan, Kenneth L
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Local Authors Nigam, Manas
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Local Authors Wang, Jessica
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Local Authors Zolper, Elizabeth
790 ## - Authors
All authors Attinger CE, Bekeny JC, Dekker PK, Evans KK, Fan KL, Kim KG, Nigam M, Wang J, Zolper EG
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1097/GOX.0000000000004023">https://dx.doi.org/10.1097/GOX.0000000000004023</a>
Public note https://dx.doi.org/10.1097/GOX.0000000000004023
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 02/21/2022   35047323 35047323 02/21/2022 02/21/2022 Journal Article

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