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8건 · 최신순-
Optimizing Postoperative Anticoagulation Regimen to Improve Lower Extremity Free Flap Outcomes.
Free flap reconstruction for lower extremity (LE) trauma has a higher failure rate than free flaps in other anatomic regions. Postoperative anticoagulation and antiplatelet therapy may influence LE free flap outcomes, but an optimal regimen…
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Effectiveness of Risk Analysis Index Frailty Scores as a Predictor of Adverse Outcomes in Lower Extremity Reconstruction.
[BACKGROUND] The rising clinical importance of assessing frailty is driven by its predictive capability for postoperative outcomes. This study assesses the effectiveness of RAI-rev (Revised Risk Analysis Index) in predicting adverse outcom…
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Elevating Lower Extremity Reconstruction: An Algorithmic Approach to Free Flap Re-elevation.
[BACKGROUND] Free flap (FF) reconstruction is frequently required for soft-tissue coverage after significant orthopaedic trauma of the lower extremity (LE). While usually the final step in limb salvage, re-elevation of the previously inset…
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Arterial Anastomosis to Injured Vessels: Outcomes in Lower Extremity Trauma Reconstruction.
[BACKGROUND] Although traditional teaching advocates that microsurgical anastomoses should be performed to uninjured vessels outside the zone of injury (ZOI), there is no defined way to assess the extent of the ZOI, and uninjured vessels ma…
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Go Deep or Go Home: Evaluating Venous Drainage Systems in Microvascular Lower Extremity Reconstruction.
No consensus exists regarding the utilization of the lower extremity superficial venous system compared with the deep veins in free flap procedures for limb salvage. This study analyzed the risks of venous complications associated with supe…
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Exploring the Connection between Flap Type and Infection in Lower Extremity Fractures.
Muscle flaps were historically considered superior to fasciocutaneous (FC) flaps for coverage of open fractures and exposed hardware. However, both flap types are now commonly used in modern lower extremity (LE) reconstruction, and it remai…
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The Hidden Risks of Perioperative Transfusions in Traumatic Lower Extremity Free Flap Reconstruction.
[BACKGROUND] Blood transfusions have been associated with surgical complications; however, these studies are not specific to lower extremity (LE) reconstruction. We evaluated the effect of perioperative packed red blood cell (PRBC) transfu…
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The Profunda Artery Perforator Flap: A Versatile Option for Head and Neck Reconstruction.
[BACKGROUND] Although the profunda artery perforator flap has gained popularity in breast reconstruction, it has not been well described for reconstruction of head and neck defects. The authors report their experience with free profunda art…