Pooja Jageer, John Kiely, Stephanie Day, Chris West, Waseem Bhat
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引用次数: 0
Abstract
Lower limb free flaps require regular monitoring in the immediate days postoperatively and often involve prolonged outpatient wound care. Post-operative dressings are complicated when a circular external fixator is used. Circumferential post-operative dressings are the standard option, such as Jelonet/gauze/wool/crepe. An alternative option is the use of Jelonet and gauze, with Gamgee (JGG) wrapped loosely over the frame instead. This allows easier monitoring with complete flap visualisation, avoids constriction and allows much quicker dressing application. This dressing option has been previously described, but no comparative study between standard dressings and JGG dressings has been made. A retrospective study was conducted for consecutive patients treated with a circular frame and free flap for reconstruction of either an acute open tibial fracture or fracture-related infection between January 2022 and October 2023. Demographics, comorbidities, perioperative details, flap and wound healing outcomes were recorded and analysed using Jamovi 2.3.21. Thirty-one patients (average age 43 years) were identified, 81% open fracture, 42% gracilis, 36% ALT. A total of 48% had standard dressings, and 52% JGG. No statistically significant difference was found between the dressing groups for flap failure, inpatient stay, or time to complete healing. This study demonstrates clinical equivalence in outcomes between standard and JGG dressings for this patient group. The JGG dressing also has the advantages of quick and easy application, with improved flap visualisation. We recommend its use in this patient group.
How to cite this article: Jageer P, Kiely J, Day S, et al. A Comparative Analysis of Standard vs Jelonet/Gauze/Gamgee Dressing for Lower Limb Free Flap Reconstruction. Strategies Trauma Limb Reconstr 2025;20(1):56-58.
期刊介绍：
Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.
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