Risco de lesão do feixe vasculonervoso após fratura do calcâneo: comparação entre três técnicas

Dear Sirs, Protecting freshly created flaps following reconstruction of post-axial leg defects, especially on the heel and Achilles area, is a challenge. Postoperative pedicle or flap compression can cause flap loss, and in some cases limb loss. Even the best surgical and microsurgical technique can be complicated by flap loss due to postoperative compres-sion of the flap or its pedicle by the weight of the patient's leg, or by the dressings around the splint. Conventional measures to offload the reconstructed site include prolonged periods (weeks) of prone positioning, and applying external fixators to elevate the foot and prevent pedicle/flap compression.Prone positioning is poorly tolerated and arguably inhumane. External FIG URE 1 A: The two inner rings of a multi-ring foam head-positioning pillow are used to make struts to pad the splint. B: One of the struts is placed at the heel, and the other at the mid-calf. C: When applied, the splint and the struts allow the reverse sural artery perforator flap to be suspended and protected from pressure Microsurgery 2017; 37: 467-468 wileyonlinelibrary.com/journal/micr

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A novel splinting technique to protect flaps of the posterior lower extremity

Khansa

Chandawarkar

2016

Microsurgery

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CT can stratify patients as low risk for tibial neuropathy following a talus fracture

Singer

Huynh²,

Wong

et al. 2019

Emerg Radiol

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A Novel Prediction Model for Determining Coronal Length of Calcaneus Using CT: A Guide for Surgery of Calcaneal Fracture

Chun

Cho

Lee

et al. 2021

The Journal of Foot and Ankle Surgery

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Risco de lesão do feixe vasculonervoso após fratura do calcâneo: comparação entre três técnicas

Cited by 4 publications

References 17 publications

A novel splinting technique to protect flaps of the posterior lower extremity

A novel splinting technique to protect flaps of the posterior lower extremity

CT can stratify patients as low risk for tibial neuropathy following a talus fracture

A Novel Prediction Model for Determining Coronal Length of Calcaneus Using CT: A Guide for Surgery of Calcaneal Fracture

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