Lower Limb Muscle Flaps

Bui, Phuoc V.; Rizzo, Dominic A.

doi:10.1016/j.cpm.2020.07.004

Clinics in Podiatric Medicine and Surgery

2020

DOI: 10.1016/j.cpm.2020.07.004

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Lower Limb Muscle Flaps

Phuoc V. Bui

Dominic A. Rizzo

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Cited by 4 publications

(1 citation statement)

References 29 publications

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“…This mapping is therefore reproducible and easy to carry out to precisely identify the area to be covered. As an example, we were able to compare the coverage possibilities of 3 muscle flaps pedicled on the distal third of the leg: the reverse peroneus brevis muscle, 4 the flexor hallucis longus, 5 and the distally based medial soleus 6 . Using 10 anatomical subjects, we were able to perform these 3 flaps 20 times and thus obtain a precise mapping of the possible coverage areas (Fig.…”

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confidence: 99%

Reply to: Revisiting Bipedicled Flaps for Lower Extremity Distal Third Defects

de Villeneuve Bargemon,

Witters,

Van Straaten

et al. 2024

Ann Plast Surg

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mentioning

confidence: 99%

Reply to: Revisiting Bipedicled Flaps for Lower Extremity Distal Third Defects

de Villeneuve Bargemon,

Witters,

Van Straaten

et al. 2024

Ann Plast Surg

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Distally based peroneus brevis flap: Reconstruction of complex soft-tissue defects with bony infection of the lateral malleolus

Nava,

Martineau,

Suva

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Clinical characteristics, treatment and efficacy of calcaneal osteomyelitis: a systematic review with synthesis analysis of 1118 reported cases

Jiang,

Chen,

Liu

et al. 2024

International Journal of Surgery

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Background: Calcaneal osteomyelitis (CO) still poses great challenges to orthopaedic surgeons due to unique anatomic and functional features of the calcaneus. This study summarized the current data regarding clinical characteristics, treatment and efficacy of CO, based on an analysis of literature-reported cases. Materials and Methods: We searched the PubMed, Embase, and Cochrane Library databases to find English and Chinese studies reporting on CO patients between 2000 and 2021, with available data for synthesis analysis. The quality of the included studies was evaluated by the National Institutes of Health (NIH) assessment scale. Effective data were extracted and pooled for analysis. Results: Altogether 198 studies involving 1118 patients were included, with a male-to-female ratio of 2.3 (724 males and 310 females). The median age at CO diagnosis was 46 years, with a median symptom duration of 3 months. Injury-related infections (524 cases) and diabetic foot infections (336 cases) were the two most common causes, with ulcer (468 cases) and wound sinus or exudation (209 cases) being the predominant symptoms. The overall positive culture rate was 80.2%, with polymicrobial infections accounting for 18.1%. Staphylococcus aureus was the most frequently detected pathogen (42.7%), with fungal-related infections isolated in 17 cases. Although most patients received surgical interventions (96.9%), the recurrence rate was 20.1%. The incidence of infection relapse following partial calcanectomy, total calcanectomy, debridement with implantation of local antibiotics, and debridement with or without flap or skin coverage were 31.7%, 45.0%, 16.8%, and 15.1%, respectively. The overall incidence of limb amputation was 12.4%, with all-cause and CO-related mortalities of 2.8% and 0.2%, separately. Conclusions: CO shared similar characteristics with extremity chronic osteomyelitis, primarily affecting young males, with trauma and diabetic foot as the leading causes and Staphylococcus aureus as the most frequently detected pathogen. Despite surgery being the primary treatment modality, clinical outcomes remained unsatisfactory, marked by high rates of infection recurrence and limb amputation.

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Lower Limb Muscle Flaps

Cited by 4 publications

References 29 publications

Reply to: Revisiting Bipedicled Flaps for Lower Extremity Distal Third Defects

Reply to: Revisiting Bipedicled Flaps for Lower Extremity Distal Third Defects

Distally based peroneus brevis flap: Reconstruction of complex soft-tissue defects with bony infection of the lateral malleolus

Clinical characteristics, treatment and efficacy of calcaneal osteomyelitis: a systematic review with synthesis analysis of 1118 reported cases

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