Reconstruction of the weight-bearing heel with nonsensate reverse sural artery flaps
DC Field | Value | Language |
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dc.contributor.author | Park, Ji Hun | - |
dc.contributor.author | Choi, In Cheul | - |
dc.contributor.author | Hong, Tae Chang | - |
dc.contributor.author | Kang, Jong Woo | - |
dc.contributor.author | Park, Jong Woong | - |
dc.date.accessioned | 2021-11-17T15:41:08Z | - |
dc.date.available | 2021-11-17T15:41:08Z | - |
dc.date.created | 2021-08-30 | - |
dc.date.issued | 2021-07 | - |
dc.identifier.issn | 0020-1383 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/127771 | - |
dc.description.abstract | Background: The reverse sural artery flap (RSAF) is widely used to reconstruct foot and ankle defects. Although it is commonly used in a nonsensate type, there has been controversy as to whether it provides sufficient stability and durability when applied to weight-bearing heels. The aim of this study was to evaluate patient outcomes after weight-bearing heel coverage using a nonsensate RSAF. Methods: Twenty-three patients who underwent reconstruction surgery of the weight-bearing heel with RSAF from 2004 to 2018 in a tertiary hospital were retrospectively reviewed. All surgeries were performed without a sensate procedure. The patients' experience of pressure sore on the flap area and the ability to use normal footwear were investigated. Light touch, Semmes-Weinstein test (SWT), and two-point discrimination tests were assessed, along with postoperative wound complications. Results: Heel damage etiologies included malignant tumors in 14 (61%), trauma-related in 7 (30%) and diabetic ulcers in 2 (9%) patients. Patient mean age was 58 years (range, 18-93 years) and the mean follow-up period was 57 months (range, 12-185 months). The mean size of the flap was 64.1 cm2 (range, 20-169 cm(2)). All flaps healed without major complications. All returned to daily living activities and 20 (86%) patients were able to use normal footwear. Of the 11 patients who had available measurement records, 8 (73%) showed a light touch sense. The mean SWT value was 4.31 (range, 3.61- 4.56). Two-point discrimination was not observed in any of the patients. Two patients had experienced superficial ulcers on the flap within a one-year postoperative period, which spontaneously healed and did not recur. No full-thickness ulcers were observed during the follow-up period. Conclusions: The results of this study suggest that patients who underwent nonsensate RSAF for the reconstruction of the heel could expect to maintain the property for stable weight-bearing without pressure sore. (C) 2021 Elsevier Ltd. All rights reserved. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCI LTD | - |
dc.subject | FREE-TISSUE TRANSFER | - |
dc.subject | FOOT RECONSTRUCTION | - |
dc.subject | CLINICAL-EXPERIENCE | - |
dc.subject | PERFORATOR FLAP | - |
dc.subject | ISLAND FLAP | - |
dc.subject | ANKLE | - |
dc.subject | DEFECTS | - |
dc.subject | SOLE | - |
dc.subject | RECOVERY | - |
dc.subject | FOREARM | - |
dc.title | Reconstruction of the weight-bearing heel with nonsensate reverse sural artery flaps | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Jong Woong | - |
dc.identifier.doi | 10.1016/j.injury.2021.04.007 | - |
dc.identifier.scopusid | 2-s2.0-85104294187 | - |
dc.identifier.wosid | 000664633900011 | - |
dc.identifier.bibliographicCitation | INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, v.52, no.7, pp.1993 - 1998 | - |
dc.relation.isPartOf | INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | - |
dc.citation.title | INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | - |
dc.citation.volume | 52 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1993 | - |
dc.citation.endPage | 1998 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | FREE-TISSUE TRANSFER | - |
dc.subject.keywordPlus | FOOT RECONSTRUCTION | - |
dc.subject.keywordPlus | CLINICAL-EXPERIENCE | - |
dc.subject.keywordPlus | PERFORATOR FLAP | - |
dc.subject.keywordPlus | ISLAND FLAP | - |
dc.subject.keywordPlus | ANKLE | - |
dc.subject.keywordPlus | DEFECTS | - |
dc.subject.keywordPlus | SOLE | - |
dc.subject.keywordPlus | RECOVERY | - |
dc.subject.keywordPlus | FOREARM | - |
dc.subject.keywordAuthor | Reverse sural artery flap | - |
dc.subject.keywordAuthor | Weight-bearing heel | - |
dc.subject.keywordAuthor | Nonsensate flap | - |
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