Medial Tab-type Fasciocutaneous Flap as an Alternative for the Management of Soft Tissue Defects of the Leg
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Leg Coverage Defects
- Sponsor
- Fundación Campbell
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Differences in surgical and healing time between medial tab flaps and conventional flaps
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Selecting the right technique for lower limb soft tissue reconstruction is a therapeutic challenge. Despite having several reconstruction options, it's important to choose a technique that is effective and with the least possible donor site morbidity for the patient.
Objective: demonstrate the therapeutic efficacy of the medial tab flap in soft tissue reconstruction on the leg, compared to conventional flaps.
Materials and methods: Cohort study matched with Propensity Score Matching (PSM) by age. 64 patients with soft tissue defects were selected and followed up to one year postoperatively. Outcome variables: surgical time in minutes, healing, healing time in days, complications.
Investigators
Eligibility Criteria
Inclusion Criteria
- •diagnosis of soft tissue defects in the leg due to grade III B open fractures, or due to bone infection
- •contraindication to using conventional flaps due to the following reasons: soft tissue injuries at the flap island site, injury to the vascular bed of the flap or injury of the flap structure (fascia, skin or muscle)
- •people between 18 and 70 years of age
Exclusion Criteria
- •Patients with a history of free flaps
- •Whose clinical follow up couldn't be completed to assess outcomes were excluded.
Outcomes
Primary Outcomes
Differences in surgical and healing time between medial tab flaps and conventional flaps
Time Frame: January 2019 - December 2022
This information was taken from he Sculapio software clinical records, the surgical time was measured in minutes from the moment of the incision to the clousure of the surgical planes, and the healing time was measured in days from the immediate postoperative period until the wound epithelization
Secondary Outcomes
- Sociodemographic and clinical characteristics(January 2019 - December 2022)
- Complications(January 2019 - December 2022)