Outcomes of Free Adipofascial Flaps Combined With Tenolysis in Scarred Beds

Piñal, Francisco del; Moraleda, Eduardo; Piero, Guillermo H. de; Rúas, Jaime S.

doi:10.1016/j.jhsa.2013.11.030

Cited by 19 publications

(10 citation statements)

References 22 publications

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“…In 2010, Guimberteau et al [ 17 ] histologically validated the suitability of adipofascial tissue for tendon gliding. In addition, several subsequent studies have reported that adipofascial tissue coupled with tenolysis produces excellent outcomes in patients with continually recurrent tendon adhesion [ 18 19 ]. The authors have not experienced a case in which additional tenolysis was performed in response to postoperative tendon adhesion.…”

Section: Discussionmentioning

confidence: 99%

Clinical Experiences with the Scapular Fascial Free Flap

et al. 2016

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BackgroundThe goal of reconstruction is to provide coverage of exposed vital structures with well-vascularized tissue for optimal restoration of form and function. Here, we present our clinical experience with the use of the scapular fascial free flap to correct facial asymmetry and to reconstruct soft tissue defects of the extremities.MethodsWe used a scapular fascial free flap in 12 cases for soft tissue coverage of the extremities or facial soft tissue augmentation.ResultsThe flaps ranged in size from 3×12 to 13×23 cm. No cases of total loss of the flap occurred. Partial loss of the flap occurred in 1 patient, who was treated with a turnover flap using the adjacent scapular fascial flap and a skin graft. Partial loss of the skin graft occurred in 4 patients due to infection or hematoma beneath the graft, and these patients underwent another skin graft. Four cases of seroma at the donor site occurred, and these cases were treated with conservative management or capsulectomy and quilting sutures.ConclusionsThe scapular fascial free flap has many advantages, including a durable surface for restoration of form and contours, a large size with a constant pedicle, adequate surface for tendon gliding, and minimal donor-site scarring. We conclude that despite the occurrence of a small number of complications, the scapular fascial free flap should be considered to be a viable option for soft tissue coverage of the extremities and facial soft tissue augmentation.

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Section: Discussionmentioning

confidence: 99%

Clinical Experiences with the Scapular Fascial Free Flap

et al. 2016

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“…Other authors [9,10,25] have reported that reconstruction of the gliding tissue with free flaps is useful for recovering tendon function in the forearm and the dorsum of the hand. Nevertheless, use of some of these distant flaps is limited by their excessive thickness or the need for technically demanding microsurgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Can an adipofascial flap be used to prevent adhesions after plating of the proximal phalanx? A case report

Lucchina

Maggiulli

Tos

et al. 2015

Chirurgie de la Main

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“…As suggested by Breidenbach and Terzis, [92] a poorly vascularized bed can be transformed into a well-vascularized bed by flap transfer and a NVNG placed into it with similar results. This is a practice that resembles well-established flap transfers in heavily scarred beds for tendon gliding [93] or scar-tethered nerves. [94] Many free or local options exist, and an NVNG can then be used to bridge the gap.…”

Section: Nonvascularized To Vascularized Wound Bedmentioning

confidence: 99%

Vascularized nerve "grafts": just a graft or a worthwhile procedure?

et al. 2015

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The aim of this review is to extrapolate evidence regarding the use of vascularized nerve grafts (VNGs) in peripheral nerve reconstruction and summarize available data on their indications, if any, and clinical applications. A review of the literature via the PubMed database was performed with analysis of ninety-five articles on the experimental and clinical studies of VNGs. Eight relevant questions were selected to be answered about VNGs. VNGs allow faster nerve regeneration and convey a functional advantage under certain clinical conditions such as large nerves, proximal lesions, and nonvascularized recipient beds. Several donor sites are available which have been being divided by body region in this manuscript. VNGs perform better than non-VNGs and provide an advantage in selected cases. However, limited availability and donor site morbidity still limit their application. We foresee a wider application of vascularized nerve allografts to overcome these problems.

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Outcomes of Free Adipofascial Flaps Combined With Tenolysis in Scarred Beds

Cited by 19 publications

References 22 publications

Clinical Experiences with the Scapular Fascial Free Flap

Clinical Experiences with the Scapular Fascial Free Flap

Can an adipofascial flap be used to prevent adhesions after plating of the proximal phalanx? A case report

Vascularized nerve "grafts": just a graft or a worthwhile procedure?

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