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Free tissue transfer for lower extremity trauma in the pediatric patient

Plastic and Aesthetic Research 2022年第1期9卷 529-538页

作者： Sammy Othman Denis knobel Division of Plastic and Reconstructive Surgery Department of SurgeryNorthwell HealthNew YorkNY 11021USA

Aim:The utilization of free-tissue transfer secondary to traumatic lower extremity defects in the pediatric population is scarcely *** include microsurgeon inexperience,inadequate center resources,and fear of historically described poor surgical *** aim of this study is to investigate more recent articles describing free-flap microsurgical reconstruction for these ***:A systematic review of the literature was conducted through the online databases PubMed,Embase,and Web of Science,examining for articles with at least 20 subjects utilizing free-tissue transfer for soft-tissue defects of the pediatric(aged 18 and younger)lower extremity following traumatic etiology since *** included flap failure,return to the operating room,and functional status,where ***:Seven studies were deemed appropriate for inclusion,with a total of 243 flaps *** vehicle and motorcycle accidents were greater than 75%of total *** defects involved the foot or ankle(65.1%).In total,perforator flaps compromised the majority of flaps(54%),with the most common being the anterolateral thigh,the scapular/parascapular,and deep inferior epigastric *** common perforators included the groin flap,tensor fascia lata,radial forearm,lateral arm,and thoracodorsal perforator ***-based flaps were less common(46%),with the latissimus dorsi and rectus muscle flaps composing the *** most commonly used recipient vessel was the anterior tibialis(49.5%)and posterior tibialis vessels(45.3%).Most studies performed reconstruction within 7-10 days of *** was a cumulative 6.5%flap failure ***:Free tissue transfer for pediatric lower extremity trauma is an important tool that likely leads to powerful *** trends indicate increasing usage of perforator *** study shows that based on existing data,free flap utilization for pediatric patients is an adequate modality for repair,and ma

关键词： Reconstructive surgery pediatric trauma pediatric lower extremity microsurgery soft-tissue freetissue transfer

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