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Soleus muscle flap for reconstruction of lower extremity *** or glue factory?

Plastic and Aesthetic Research 2022年第1期9卷 596-604页

作者： Katelyn Kondra Christian Jimenez Eloise Stanton Idean Roohani jake becerra Joseph Carey Division of Plastic and Reconstructive Surgery Keck Medicine of USCLos AngelesCA 90033USA

Aim:Soleus muscle flaps have traditionally been a reliable tool in the plastic surgeon’s armamentarium for lower extremity reconstruction and limb *** the modern era,many surgeons prefer free *** study sought to evaluate trends and outcomes of soleus flap reconstruction after lower extremity injury in a large cohort at a Level 1 trauma ***:This is an Institutional Review Board-approved,retrospective chart review that was undertaken at Los Angeles County+University of Southern California Medical Center from 2007 to *** demographics,Gustilo-Anderson fracture classification,flap characteristics,and outcomes were collected and *** of interest included failure rates,postoperative complications,and long-term ambulatory ***:Of 187 local leg flaps,68(36.4%)were soleus flaps,with 84% of soleus flaps performed prior to *** flap loss rate was 0.0%.Eighteen(26.1%)flaps demonstrated>1 complication,including osteomyelitis/hardware infection(n=12),flap revision(n=6),and amputation(n=2).Long-term follow-up demonstrated 35.3% of patients ambulating independently after an average of 7.5±7.2 months,with the remainder needing a wheelchair or walking assistance ***:Although soleus flap loss rate was 0%,the findings demonstrate more infections than expected;this must be considered in light of pre-existing patient comorbidities possibly deterring free flap ***,our results reveal that only 16% of soleus flaps were performed after *** surgeons consider the reconstructive ladder for lower extremity trauma,a rotational soleus muscle flap should not be overlooked in the modern era of free flap tissue transfers and might be a more optimal flap choice in certain patients with multiple comorbidities.

关键词： Trauma lower extremity local flap soleus ambulatory status

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