scholarly journals Coverage of exposed bone and hardware of the medial malleolus with tibialis posterior artery perforator flap after ankle fracture surgery complications

2019 ◽  
Vol 17 (2) ◽  
pp. 429-435 ◽  
Author(s):  
Ozturk MB ◽  
Tolga Aksan ◽  
Cengiz Ertekin ◽  
Mustafa Tezcan
Keyword(s):  
Ankle Fracture ◽  
Perforator Flap ◽  
Tibialis Posterior ◽  
Medial Malleolus ◽  
Surgery Complications ◽  
Exposed Bone ◽  
Fracture Surgery ◽  
Artery Perforator

scholarly journals The ulnar digital artery perforator flap for little finger reconstruction

2020 ◽  
Vol 7 (12) ◽  
pp. 4204
Author(s):  
Aakansh Jain ◽  
Sandesh Bharat Singh ◽  
Abhijat Mishra ◽  
A. K. Singh
Keyword(s):  
Case Report ◽  
Blood Supply ◽  
Perforator Flap ◽  
Digital Artery ◽  
Exposed Bone ◽  
Finger Reconstruction ◽  
Artery Perforator ◽  
Little Finger

An ulnar digital artery perforator flap has been used for little finger reconstruction. The flap is found to have a reliable blood supply, it is being perfused by a constant sizeable perforator. This paper helps describes a case report of a patient with injury to little finger with exposed bone for which a ulnar digital artery perforator flap was done. The position of the perforator was confirmed intraoperatively by an exploratory incision before committing to the distal incision. The flap used to cover the flexor aspect of the little finger has given good result.

Close-by Islanded Posterior Tibial Artery Perforator Flap: For Coverage of the Ankle Defect

2016 ◽  
Vol 25 (2) ◽  
pp. 37-42
Author(s):  
Sujin Bahk ◽  
SeungHwan Hwang ◽  
Chan Kwon ◽  
Euicheol C. Jeong ◽  
Su Rak Eo
Keyword(s):  
Perforator Flap ◽  
Posterior Tibial Artery ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Artery Perforator

Opioid Consumption Patterns and Prolonged Opioid Use Among Opioid-Naïve Ankle Fracture Patients

2021 ◽  
pp. 193864002199292
Author(s):  
Hope Skibicki ◽  
Sundeep Saini ◽  
Ryan Rogero ◽  
Kristen Nicholson ◽  
Rachel J. Shakked ◽  
...  
Keyword(s):  
Ankle Fracture ◽  
Monitoring Program ◽  
Opioid Consumption ◽  
Consumption Patterns ◽  
Utilization Rate ◽  
Opioid Use ◽  
Index Procedure ◽  
Postoperative Visit ◽  
Fracture Surgery

Introduction Previous literature has demonstrated an association between acute opioid exposure and the risk of long-term opioid use. Here, the investigators assess immediate postoperative opioid consumption patterns as well as the incidence of prolonged opioid use among opioid-naïve patients following ankle fracture surgery. Methods Included patients underwent outpatient open reduction and internal fixation of an ankle or tibial plafond fracture over a 1-year period. At patients’ first postoperative visit, opioid pills were counted and standardized to the equivalent number of 5-mg oxycodone pills. Prolonged use was defined as filling a prescription for a controlled substance more than 90 days after the index procedure, tracked by the New Jersey Prescription Drug Monitoring Program up to 1 year postoperatively. Results At the first postoperative visit, 173 patients consumed a median of 24 out of 40 pills prescribed. The initial utilization rate was 60%, and 2736 pills were left unused. In all, 32 (18.7%) patients required a narcotic prescription 90 days after the index procedure. Patients with a self-reported history of depression (P = .11) or diabetes (P = .07) demonstrated marginal correlation with prolonged narcotic use. Conclusion Our study demonstrated that, on average, patients utilize significantly fewer opioid pills than prescribed and that many patient demographics are not significant predictors of continued long-term use following outpatient ankle fracture surgery. Large variations in consumption rates make it difficult for physicians to accurately prescribe and predict prolonged narcotic use. Level of Evidence: Level III

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