Risk factors for delayed healing at the free anterolateral thigh flap donor site

Abe, Yoshiro; Kashiwagi, Keisuke; Ishida, Soushi; Mineda, Kazuhide; Yamashita, Yutaro; Hashimoto, Ichiro

추천

검색

자료유형: 학술저널

저자정보: Abe, Yoshiro (Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science) Kashiwagi, Keisuke (Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science) Ishida, Soushi (Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science) Mineda, Kazuhide (Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science) Yamashita, Yutaro (Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science) Hashimoto, Ichiro (Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제1호

발행연도: 2018.1

수록면: 51 - 57 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background The free anterolateral thigh (ALT) flap has been widely used for various kinds of reconstructions. However, delayed healing at the donor site occasionally occurs due to wound dehiscence or the partial loss of grafted skin at the donor site. The aim of the present study was to identify reliable predictive factors for delayed healing at the donor site after the harvest of a free ALT flap. Methods This study included 52 patients who underwent reconstructive procedures using free ALT flaps. The delayed healing group included patients with wounds at the donor site that had not healed over 3 weeks after surgery, and the normal healing group included patients who showed wound healing within 3 weeks after surgery. Multivariate logistic regression models were created to identify the risk factors for delayed healing at the ALT flap donor site. Results Among the 52 patients, 24 (46.2%) showed delayed healing at the donor site, and 6 patients required additional operative treatment. A high preoperative body mass index (BMI), smoking, and skin grafting were found to be significantly associated with delayed healing at the ALT donor site. Of the 37 patients who underwent skin grafting, 23 (62%) experienced delayed healing at the donor site. Conclusions A high preoperative BMI, smoking, and skin grafting were risk factors for delayed healing at the free ALT donor site. Skin grafting at the ALT donor site should be avoided in patients with a high BMI or a habit of smoking.

#Reconstructive surgical procedures #Free tissue flaps #Wound healing #Risk factors

참고문헌 (25)

참고문헌 신청

Hashimoto I / 2012 / Usefulness in combined free anterolateral thigh and vastus lateralis muscle flaps / Eur J Plast Surg 35:867~872

Song YG / 1984 / The free thigh flap: a new free flap concept based on the septocutaneous artery / Br J Plast Surg 37:149~159

Koshima I / 1993 / Free anterolateral thigh flaps for reconstruction of head and neck defects / Plast Reconstr Surg 92:421~428

Wei FC / 2002 / Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps / Plast Reconstr Surg 109:2219~2226

Kuo YR / 2001 / Free anterolateral thigh flap for extremity reconstruction: clinical experience and functional assessment of donor site / Plast Reconstr Surg 107:1766~1771

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!