Pedicled and Free Flap Lower Extremity Reconstruction in Acute Burn Injuries.

IF 1.4 4区医学 Q3 SURGERY

Annals of Plastic Surgery Pub Date : 2025-07-01 Epub Date: 2025-03-17 DOI:10.1097/SAP.0000000000004344

Mario Alessandri Bonetti, Tiffany Jeong, Hilary Y Liu, Jose Antonio Arellano, Sumaarg Pandya, Guy M Stofman, Francesco M Egro

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引用次数: 0

Abstract

Background: A paucity of studies investigates the outcomes of flap reconstruction in lower extremity acute burns. The aim of this study is to report outcomes of lower extremity acute burn requiring pedicled or free flap coverage.

Methods: A retrospective cohort study was conducted to compare the outcomes of patients undergone pedicled versus free flap reconstruction of acute lower extremity burns, between August 2010 and December 2022. Collected data included demographics, injury and flap characteristics, complications, and reoperations. χ 2 tests were used to measure differences in complication rates between pedicled and free flaps.

Results: A total of 28 patients were involved in the study. Among them, 17 patients underwent 28 pedicled flap procedures, while 11 patients received a single free flap surgery each. In the free flap group, the overall complication rate was 54.5%. In the pedicled flap group, the overall complication rate was 25.0%. Free flaps showed a significantly higher rate of total flap loss compared to pedicled flaps (18.2% vs 0%, P = 0.021). Other differences were not statistically significant.

Conclusions: Flap coverage in lower extremity acute burns is rarely employed. Yet, in case of critical structures exposure it is often necessary. However, it is important to be aware of the high risk of complications, especially for more complex reconstructions requiring free tissue transfer.

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带蒂游离皮瓣重建急性烧伤下肢。

背景：关于下肢急性烧伤皮瓣重建效果的研究较少。本研究的目的是报告下肢急性烧伤需要带蒂或自由皮瓣覆盖的结果。方法：回顾性队列研究，比较2010年8月至2022年12月急性下肢烧伤患者行带蒂皮瓣重建与游离皮瓣重建的结果。收集的数据包括人口统计学、损伤和皮瓣特征、并发症和再手术。采用χ2检验比较带蒂皮瓣和游离皮瓣并发症发生率的差异。结果：本研究共纳入28例患者。其中17例患者行28例带蒂皮瓣手术，11例患者各行1例游离皮瓣手术。游离皮瓣组总并发症发生率为54.5%。带蒂皮瓣组总并发症发生率为25.0%。与带蒂皮瓣相比，自由皮瓣的总皮瓣失失率显著高于带蒂皮瓣（18.2% vs 0%, P = 0.021）。其他差异无统计学意义。结论：皮瓣覆盖在下肢急性烧伤中应用较少。然而，在关键结构暴露的情况下，它往往是必要的。然而，重要的是要意识到并发症的高风险，特别是对于需要自由组织移植的更复杂的重建。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Plastic Surgery 医学-外科

CiteScore

2.70

自引率

13.30%

发文量

584

审稿时长

6 months

期刊介绍： The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.