Comparison of the Effect of Bacterial Inoculation in Musculocutaneous and Random-Pattern Flaps

Chang, Ning; Mathes, Stephen J.; Krizek, Thomas J.

doi:10.1097/00006534-198207000-00002

Cited by 59 publications

(62 citation statements)

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“…4,6,8,10,15,19,27,29,31,32 Several authors have shown in both clinical and animal studies that the use of flaps improves wound healing and decreases bacterial contamination. 1,3,5,9,15,20,21,25,28,32 These flaps have reduced the incidence of instrumentation removal in patients often solely dependent on the implants for spinal stability. This allows for earlier definitive wound closure, mobilization, and hospital discharge.…”

Section: Discussionmentioning

confidence: 99%

Rotational and transpositional flaps for the treatment of spinal wound dehiscence and infections in patient populations with degenerative and oncological disease

Vitaz

Welch²,

Gerszten³

et al. 2004

Journal of Neurosurgery: Spine

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Object. Wound-related complications following complex posterior spine procedures may result in the need for serial debridements and may place the instrumentation at risk. Numerous treatments have been advocated for this problem, but each has limitations. In this article the authors discuss the experience from two large teaching institutions at which rotational and transpositional flaps were used in the management of deep wound infections and dehiscences. Methods. The authors generated a list of patients treated via posterior or posterolateral approaches for metastatic tumors or complex degenerative disorders in whom wound complications subsequently developed. Data were obtained from the medical records and reviewed retrospectively. Thirty-seven patients were treated with rotational or transpositional flaps at the two institutions during the study period. Patients underwent a mean of 1.3 procedures for the treatment of wound healing problems, and cultures were positive in 70%. In three patients (8%) this treatment failed due to protrusion of hardware through the skin or repeated dehiscence requiring reclosure. Spinal instrumentation was salvaged in 97% of the cases. Conclusions. The use of local tissue flaps is advantageous for treatment of posterior wound complications due to spine surgery. In this procedure highly vascularized tissue is used to increase healing, accelerate clearance of bacteria, and fill any dead space.

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Section: Discussionmentioning

confidence: 99%

Rotational and transpositional flaps for the treatment of spinal wound dehiscence and infections in patient populations with degenerative and oncological disease

Vitaz

Welch²,

Gerszten³

et al. 2004

Journal of Neurosurgery: Spine

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“…37,38 Neurotized muscle flaps can be used for restoration of motion. Local muscle flaps include the anconeus, brachioradialis, extensor carpi radialis longus, and flexor carpi ulnaris.…”

Section: Pedicle Muscle or Myocutaneous Flapsmentioning

confidence: 99%

Soft-Tissue Coverage for Elbow Trauma

Kelley

Chung

2015

Hand Clinics

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“…A muscle flap is preferred to a fasciocutaneous flap because it fills up dead spaces, the blood supply is better, it makes better surface contact with the bone, allowing greater revascularization and hence better bone healing [109, 110]. It is possible that the perforators supplying the local fasciocutaneous flaps could be injured during high-energy trauma despite which numerous studies have demonstrated success using local fasciocutaneous flaps [111, 112].…”

Section: Soft-tissue Coveragementioning

confidence: 99%

Management of Major Limb Injuries

Langer

2014

The Scientific World Journal

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Management of major limb injuries is a daunting challenge, especially as many of these patients have severe associated injuries. In trying to save life, often the limb is sacrificed. The existing guidelines on managing such trauma are often confusing. There is scope to lay down such protocols along with the need for urgent transfer of such patients to a multispecialty center equipped to salvage life and limb for maximizing outcome. This review article comprehensively deals with the issue of managing such major injuries.

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Comparison of the Effect of Bacterial Inoculation in Musculocutaneous and Random-Pattern Flaps

Cited by 59 publications

References 0 publications

Rotational and transpositional flaps for the treatment of spinal wound dehiscence and infections in patient populations with degenerative and oncological disease

Rotational and transpositional flaps for the treatment of spinal wound dehiscence and infections in patient populations with degenerative and oncological disease

Soft-Tissue Coverage for Elbow Trauma

Management of Major Limb Injuries

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