2018
DOI: 10.1097/prs.0000000000004418
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Wound Surface Area as a Risk Factor for Flap Complications among Patients with Open Fractures

Abstract: Risk, III.

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Cited by 12 publications
(4 citation statements)
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“…How large a flap can be for safe elevation in paediatric patients is controversial. Shea et al reported that the wound surface area was a risk factor for flap complications in adult patients; flap procedures performed on larger wounds (size > 200 cm 2 ) had approximately three times the overall complication rate than those performed on smaller wounds [41]. Various maximum dimensions of the skin island in paediatric patients have been described as follows: 5.0 cm × 9.0 cm by Mahmood et al [30], 12.0 cm × 8.0 cm by Liu et al [32], 8.0 cm × 10.0 cm by Koladi et al [28], and 15.0 cm × 13.0 cm by Zheng et al [33].…”
Section: Discussionmentioning
confidence: 99%
“…How large a flap can be for safe elevation in paediatric patients is controversial. Shea et al reported that the wound surface area was a risk factor for flap complications in adult patients; flap procedures performed on larger wounds (size > 200 cm 2 ) had approximately three times the overall complication rate than those performed on smaller wounds [41]. Various maximum dimensions of the skin island in paediatric patients have been described as follows: 5.0 cm × 9.0 cm by Mahmood et al [30], 12.0 cm × 8.0 cm by Liu et al [32], 8.0 cm × 10.0 cm by Koladi et al [28], and 15.0 cm × 13.0 cm by Zheng et al [33].…”
Section: Discussionmentioning
confidence: 99%
“…The larger the defect, the larger a flap was required to cover the wound. Although the wound size has not been specifically indicated as a risk factor in pressure sore reconstruction, it has already been identified as an important risk factor in flap reconstruction [16]. In addition, large wounds are inherently more prone to infection and wound dehiscence; therefore, the risk of reoperation is high in these cases.…”
Section: Discussionmentioning
confidence: 99%
“…Shea et al 22 demonstrated that the wound area is an integral determinant for flap complications, and the larger the wound, the higher the complication rate of the flap. Because the shape of the skin island and defect are usually irregular, the length multiplied by the width of the skin island was utilized to represent the dimensions of the skin island, and this index indirectly reflects the size of the defect.…”
Section: Discussionmentioning
confidence: 99%