Allograft as an Adjunct for Free Omental Flaps for Lower Extremity Coverage of a Mangled Lower Extremity.
allograft
lower extremity salvage
microsurgery
omental free flap
trauma
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
accepted:
27
09
2023
medline:
30
10
2023
pubmed:
30
10
2023
entrez:
30
10
2023
Statut:
epublish
Résumé
The utility of allograft for temporary coverage of soft tissue defects is well-established, most notably in the burn literature. Its utility as an adjunct to free tissue transfer for soft tissue defects has been described, but literature on the effectiveness of this hybrid approach for lower extremity salvage is limited. We present a series of two patients who underwent lower extremity salvage using an omental free flap and allograft followed by staged split-thickness skin grafting at our institution. Patient characteristics analyzed included age, smoking status, comorbidities, mechanism of injury, wound class, and wound surface area. Endpoints included partial or complete flap loss, number of days from allograft to autograft, postoperative infection, unplanned reoperation, and successful, functional extremity salvage. Both patients were male, ages 50 and 35, with a BMI of 31 and 19.2 kg/m
Identifiants
pubmed: 37900392
doi: 10.7759/cureus.46146
pmc: PMC10613022
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e46146Informations de copyright
Copyright © 2023, Brown et al.
Déclaration de conflit d'intérêts
The authors have declared financial relationships, which are detailed in the next section.
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