The fate of lower extremities with failed free flaps: a single institution's experience over 25 years
Background: Lower-extremity reconstruction with microvascular free flap coverage is often
the only option for limb salvage. Flap failure rates, however, continue to have higher
complication rates than those to other anatomic sites; a significant number of flaps that fail
result in amputation. This study retrospectively analyzed patients treated at a single
institution who underwent attempted lower-extremity limb salvage with microsurgical
techniques over a 25-year period. Of particular interest are the outcome data for patients …
the only option for limb salvage. Flap failure rates, however, continue to have higher
complication rates than those to other anatomic sites; a significant number of flaps that fail
result in amputation. This study retrospectively analyzed patients treated at a single
institution who underwent attempted lower-extremity limb salvage with microsurgical
techniques over a 25-year period. Of particular interest are the outcome data for patients …
The fate of lower extremities with failed free flaps
T Benacquista, AK Kasabian… - Plastic and reconstructive …, 1996 - journals.lww.com
This study reviews the outcome of patients with failed free Haps to lower extremities. The
failure rate was 10 percent (41 of 413 flaps) over a 13-year period. Trauma patients (83
percent of all patients) had a failure rate of 11 percent., while nontrauma patients had a
failure rate of 6.7 percent. The most common cause of failure was venous thrombosis (34
percent). Eight of 36 patients (22 percent) went on to amputation after the failed free Hap; all
were trauma patients. Patients with tibia-fibula fractures had a 35 percent amputation rate (6 …
failure rate was 10 percent (41 of 413 flaps) over a 13-year period. Trauma patients (83
percent of all patients) had a failure rate of 11 percent., while nontrauma patients had a
failure rate of 6.7 percent. The most common cause of failure was venous thrombosis (34
percent). Eight of 36 patients (22 percent) went on to amputation after the failed free Hap; all
were trauma patients. Patients with tibia-fibula fractures had a 35 percent amputation rate (6 …
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