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Titolo:
Management of hypovascularized wounds not responding to conventional therapy by means of free muscle transplantation
Autore:
Walgenbach, KJ; Voigt, M; Andree, C; Stark, GB; Horch, RE;
Indirizzi:
Univ Freiburg, Dept Plast & Hand Surg, D-79106 Freiburg, Germany Univ Freiburg Freiburg Germany D-79106 d Surg, D-79106 Freiburg, Germany
Titolo Testata:
VASA-JOURNAL OF VASCULAR DISEASES
fascicolo: 3, volume: 30, anno: 2001,
pagine: 206 - 211
SICI:
0301-1526(200107)30:3<206:MOHWNR>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERIPHERAL VASCULAR-DISEASE; FREE-FLAP TRANSFER; LOWER-EXTREMITY; LIMB SALVAGE; RECONSTRUCTION; ISCHEMIA; DEFECTS; ULCERS; FOOT;
Keywords:
free muscle transfer; hypovascularized wounds; arterial occlusive disease;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Walgenbach, KJ Univ Freiburg, Dept Plast & Hand Surg, Hugstetter Str 55, D-79106 Freiburg, Germany Univ Freiburg Hugstetter Str 55 Freiburg Germany D-79106 y
Citazione:
K.J. Walgenbach et al., "Management of hypovascularized wounds not responding to conventional therapy by means of free muscle transplantation", VASA, 30(3), 2001, pp. 206-211

Abstract

Background: Chronic ulceration as a complication of arteriosclerotic disease, venous congestion or diabetes mellitus is still a serious clinical problem, resulting in immobilization, extended hospitalization and cost-intensive treatment. Other than standard conservative treatment protocols or earlyamputation, microsurgical free transfer of well vascularized muscle tissueonto chronic wounds can induce angiogenesis and improve wound healing evenin the hypovascularized wound. Patients: From 1993-1999 ive treated 12 patients (mean age: 46 years) withvascular ulcers of the lower extremity with free muscle or fasciocutaneoustissue transferResults: The average hospitalization was 51.4 days. The perioperative mortality was zero. In one patient with factor V deficiency a partial flap necrosis occurred. Two revisions of the micro anastomoses had to be performed. Two seromas occurred at the donor site. No secondary flap loss was observed. Extremity or stump length preservation was achieved in all cases. Conclusions: Optimal postoperative treatment with physiotherapy and orthopaedic shoe support is important. If all these factors are present and if the patient is highly motivated a reintegration into normal life can be achieved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 09:23:54