A systematic approach to emergent breast free flap takeback: Clinical outcomes, algorithm, and review of the literature

Microsurgery ◽  
2013 ◽  
Vol 33 (7) ◽  
pp. 505-513 ◽  
Author(s):  
Ibrahim Khansa ◽  
Albert H. Chao ◽  
Maakan Taghizadeh ◽  
Theodore Nagel ◽  
Duane Wang ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Free Flap ◽  
Systematic Approach ◽  
Review Of The Literature

First reported PET positive, FDG avid free flap pedicle ossification and review of the literature

2021 ◽  
Author(s):  
Alex M. Silberzweig ◽  
Monica H. Xing ◽  
Neil Mundi ◽  
Ammar Matloob ◽  
Mark L. Urken
Keyword(s):  
Free Flap ◽  
Review Of The Literature

Manipulating the infant respiratory microbiomes to improve clinical outcomes: a review of the literature

2021 ◽  
Author(s):  
Anastasia A Theodosiou ◽  
Robert B Dorey ◽  
Jay R Laver ◽  
David W Cleary ◽  
Robert C Read ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Review Of The Literature

scholarly journals Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Catherine Kilmartin ◽  
Katharine D. Harper ◽  
Chirag Mehta ◽  
Joseph Thoder ◽  
Andrew Newman
Keyword(s):  
Limb Salvage ◽  
Free Flap ◽  
Radial Head ◽  
Radial Head Prosthesis ◽  
Review Of The Literature ◽  
Joint Function ◽  
Radial Head Arthroplasty ◽  
Elbow Function ◽  
Fibular Free Flap ◽  
Proximal Forearm

Reconstructive flaps have revolutionized the ability of surgeons to restore function and cosmesis for patients. While reconstructive flaps have been used to bridge large defects due to oncologic or congenital maladies necessitating large debridements, few cases have observed salvage flaps in traumas which provide additional challenges secondary to an injury trajectory. This case report details use of an osteofasciocutaneous fibular free flap and radial head prosthesis to restore forearm function in a 64-year-old female with a comminuted fracture of the proximal radius. The patient has sustained a 5.5 cm epiphyseal radial defect with an associated 20 × 15 cm overlying tissue defect after serial debridement. In review of the literature, only one nontraumatic case using a combined free flap and radial head prosthesis for proximal forearm defect to restore joint function has been reported. We suggest that, for proximal forearm fractures, this technique can be used to restore elbow joint function in limb salvage.

scholarly journals Survivorship and clinical outcomes of proximal femoral replacement in non-neoplastic primary and revision total hip arthroplasty: a systematic review

2021 ◽  
Vol 22 (S2) ◽  
Author(s):  
Fabio Mancino ◽  
Vincenzo Di Matteo ◽  
Fabrizio Mocini ◽  
Giorgio Cacciola ◽  
Giuseppe Malerba ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Bone Loss ◽  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
Complication Rate ◽  
Reoperation Rate ◽  
Revision Total Hip Arthroplasty ◽  
Femoral Bone ◽  
Review Of The Literature

Abstract Background Several studies have evaluated the survivorship and clinical outcomes of proximal femoral replacement (PFR) in complex primary and revision total hip arthroplasty with severe proximal femoral bone loss; however, there remains no consensus on the overall performance of this implant. We therefore performed a systematic review of the literature in order to examine survivorship and complication rates of PFR usage. Methods A systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed. A comprehensive search of PubMed, MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews was conducted for English articles using various combinations of keywords. Results In all, 18 articles met the inclusion criteria. A total of 578 PFR were implanted. The all-cause reoperation-free survivorship was 76.6%. The overall complication rate was 27.2%. Dislocation was the most common complication observed and the most frequent reason for reoperation with an incidence of 12.8 and 7.6%, respectively. Infection after PFR had an incidence of 7.6% and a reoperation rate of 6.4%. The reoperation rate for aseptic loosening of the implant was 5.9%. Overall, patients had improved outcomes as documented by postoperative hip scores. Conclusion PFR usage have a relatively high complication rate, however, it remains an efficacious treatment option in elderly patients with osteoporotic bone affected by severe proximal femoral bone loss. Modular designs have shown reduced dislocations rate and higher survivorship free from dislocation. However, PFR should only be used as salvage procedure when no other reconstruction options are available.

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