التفاصيل البيبلوغرافية
| العنوان: |
Colgajo paraescapular en pérdidas postraumáticas de tejidos blandos de las extremidades. [Parascapular flap in post-traumatic soft-tissue loss at the limbs.] |
| المؤلفون: |
Vanoli, Fernando, Murillo, Bernardo, Lobos Centeno, Esteban, Gentile, Luciano, Gutierrez Olivera, Natalia, Allende Nores, Christian Antonio |
| المصدر: |
Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 83, Nº. 3, 2018, pags. 157-166 |
| سنة النشر: |
2018 |
| المجموعة: |
Dialnet - Portada de revistas (Universidad de La Rioja) |
| مصطلحات موضوعية: |
Colgajo libre paraescapular, pérdida de tejidos blandos, extremidades, Parascapular free flap, soft tissue loss, limbs |
| الوصف: |
IntroductionThe aim of this study is to present the results after the use of paraescapular free flaps to cover severe soft tissue defects at the extremities.MethodsA retrospective, descriptive study of 20 patients who underwent parascapular free flaps to cover massive combined soft tissue lesions at the extremities as a salvage procedure from 2006 to 2017 was performed. Patients age averaged 30 years (18 men, 2 women). Sites of lesions were: ten at the forearm and wrist, one at the inguinal region, seven at the leg and two at the ankle/foot.ResultsFollow-up averaged 3.6 years. Successful coverage was achieved in 17 cases. Flap size averaged 24.8 x 10.7 cm. There were six cases with neurovascular lesions that needed grafting, six cases had associated bone loss, eleven patients needed skin graft and four required tendon reconstructions. Donor area closed primarily without functional limitations in all patients. In three cases the flap was combined with a scapular flap and in three cases with a latissimus dorsi flap. Two flaps failed and the injured limb was amputated; one patient died due to massive embolism seven days after surgery.ConclusionsParascapular free flaps allowed salvage and reconstruction of 17 out of 20 severely injured limbs, without morbidity for the donor area. But its use is not free of complications, and a multidisciplinary approach is necessary to reduce this morbidity. ; IntroducciónEl objetivo de este artículo es comunicar los resultados obtenidos con el uso del colgajo paraescapular para cubrir defectos severos postraumáticos de tejidos blandos en las extremidades. Materiales y Métodos Estudio retrospectivo, descriptivo, de una serie de 20 pacientes a los que se les realizó un colgajo libre paraescapular para cubrir lesiones masivas combinadas postraumáticas de tejidos blandos en las extremidades, entre 2006 y 2017. La edad de los pacientes promedió 30 años (18 hombres, 2 mujeres). La localización de las lesiones fue: 10 en antebrazo y muñeca, una en la región inguinal, siete en la pierna y ... |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
Spanish; Castilian |
| Relation: |
https://dialnet.unirioja.es/servlet/oaiart?codigo=6608536 |
| الاتاحة: |
https://dialnet.unirioja.es/servlet/oaiart?codigo=6608536 |
| Rights: |
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| رقم الانضمام: |
edsbas.58649529 |
| قاعدة البيانات: |
BASE |