Volume 11, Issue 1 (In-Press 2024)
JROS 2024, 11(1): 0-0 |
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Biglari F, Sabaghzadeh A, Sadighi M, Behnaz F, Goli M, Kafiabadi M J, et al . Risk Factors of Venous Congestion after Reverse Sural Artery Flap. JROS 2024; 11 (1)
URL: http://jros.iums.ac.ir/article-1-2270-en.html
URL: http://jros.iums.ac.ir/article-1-2270-en.html
Farsad Biglari1 
, Amir Sabaghzadeh1 , Mehrdad Sadighi1 , Faranak Behnaz2 , Mohammadali Goli3 , Meisam Jafari Kafiabadi1 , Mohammad Ali Okhovatpour4 , Adel Ebrahimpour1
, Amir Sabaghzadeh1 , Mehrdad Sadighi1 , Faranak Behnaz2 , Mohammadali Goli3 , Meisam Jafari Kafiabadi1 , Mohammad Ali Okhovatpour4 , Adel Ebrahimpour1
1- Department of Orthopedic Surgery, Clinical Research Development Unit of Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Anesthesiology, School of Medicine Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Department of Orthopedics, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran
2- Department of Anesthesiology, School of Medicine Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Department of Orthopedics, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran
Abstract: (29 Views)
Background: In recent decades, the reverse sural artery flap (RSAF) has become popular for reconstructing soft tissue defects in the distal third of the tibia, ankle, or heel. Previously published studies have reported limited observations of the associated complications and related factors. This cross-sectional study was conducted to determine the risk factors and their correlation with RSAF outcomes.
Methods: The study included patients referred to our department with soft tissue defects of the distal tibia, ankle, or heel treated using RSAF from 2019 to 2022. Clinical and outpatient records were investigated to collect the data. Qualitative data were reported using frequencies and percentages, and quantitative data were reported using means and standard deviations.
Results: Flap congestion was reported in 71.8% of the 39 patients with variable severity. Smoking, drug addiction, late referral, concomitant fractures, and soft tissue defects were associated with venous congestion at the repair site.
Conclusion: Flap congestion is common after an RSAF. By controlling the risk factors associated with this complication, such as smoking cessation and faster referral to a surgeon skilled in reconstructing soft tissue defects, flap congestion can be reduced, thus reducing the possibility of treatment failure.
Methods: The study included patients referred to our department with soft tissue defects of the distal tibia, ankle, or heel treated using RSAF from 2019 to 2022. Clinical and outpatient records were investigated to collect the data. Qualitative data were reported using frequencies and percentages, and quantitative data were reported using means and standard deviations.
Results: Flap congestion was reported in 71.8% of the 39 patients with variable severity. Smoking, drug addiction, late referral, concomitant fractures, and soft tissue defects were associated with venous congestion at the repair site.
Conclusion: Flap congestion is common after an RSAF. By controlling the risk factors associated with this complication, such as smoking cessation and faster referral to a surgeon skilled in reconstructing soft tissue defects, flap congestion can be reduced, thus reducing the possibility of treatment failure.
Keywords: Distal Tibia, Reverse Sural, Artery, Flap, Risk Factor, Soft Tissue Repair, Venous Congestion
Type of Study: Research Article |
Subject:
Trauma
Received: 2025/01/14 | Accepted: 2025/01/29 | Published: 2024/02/13
Received: 2025/01/14 | Accepted: 2025/01/29 | Published: 2024/02/13
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