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Gracilis Free Flap in a Patient with Sickle Cell Disease
INTRODUCTION: Free tissue transfer in the sickle cell population presents many challenges to the reconstructive surgeon. There are few reported cases of successful free tissue transfers within the sickle cell population. The majority of successful cases involve fasciocutaneous free flaps with few su...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465744/ https://www.ncbi.nlm.nih.gov/pubmed/37654764 http://dx.doi.org/10.13107/jocr.2023.v13.i08.3822 |
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author | Lemons, Wesley J Hampton, Dallas Satalich, James Cinats, David |
author_facet | Lemons, Wesley J Hampton, Dallas Satalich, James Cinats, David |
author_sort | Lemons, Wesley J |
collection | PubMed |
description | INTRODUCTION: Free tissue transfer in the sickle cell population presents many challenges to the reconstructive surgeon. There are few reported cases of successful free tissue transfers within the sickle cell population. The majority of successful cases involve fasciocutaneous free flaps with few successful muscle flaps. This case report describes the successful utilization of a gracillis free flap to reconstruct a multifocal soft tissue defect following a closed distal tibia fracture in a patient with sickle cell disease (SCD). CASE REPORT: This is a 20-year-old female with past medical history significant for sickle cell anemia, cardiomyopathy secondary to a ventricular septal defect and multiple occurrences of osteomyelitis who underwent gracilis free flap transfer to reconstruct soft tissue loss around the ankle after surgical fixation of a left pathological tibia fracture. CONCLUSION: The use of free flaps in sickle cell patients has shown to be extremely challenging due to the high risks of sickling and subsequent pedicle thrombosis associated with this population. However, there have been an increasing number of successful cases of free tissue transfers with most of these flaps arising from muscular origins. Therefore, more cases regarding free flaps in the sickle cell population are needed to fully understand the best protocols to follow. The techniques utilized among successful cases, regarding protocols prior to the surgery along with successful graft location selection, can help advance future cases and shows promise for future sickle cell patients. |
format | Online Article Text |
id | pubmed-10465744 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-104657442023-08-31 Gracilis Free Flap in a Patient with Sickle Cell Disease Lemons, Wesley J Hampton, Dallas Satalich, James Cinats, David J Orthop Case Rep Case Report INTRODUCTION: Free tissue transfer in the sickle cell population presents many challenges to the reconstructive surgeon. There are few reported cases of successful free tissue transfers within the sickle cell population. The majority of successful cases involve fasciocutaneous free flaps with few successful muscle flaps. This case report describes the successful utilization of a gracillis free flap to reconstruct a multifocal soft tissue defect following a closed distal tibia fracture in a patient with sickle cell disease (SCD). CASE REPORT: This is a 20-year-old female with past medical history significant for sickle cell anemia, cardiomyopathy secondary to a ventricular septal defect and multiple occurrences of osteomyelitis who underwent gracilis free flap transfer to reconstruct soft tissue loss around the ankle after surgical fixation of a left pathological tibia fracture. CONCLUSION: The use of free flaps in sickle cell patients has shown to be extremely challenging due to the high risks of sickling and subsequent pedicle thrombosis associated with this population. However, there have been an increasing number of successful cases of free tissue transfers with most of these flaps arising from muscular origins. Therefore, more cases regarding free flaps in the sickle cell population are needed to fully understand the best protocols to follow. The techniques utilized among successful cases, regarding protocols prior to the surgery along with successful graft location selection, can help advance future cases and shows promise for future sickle cell patients. Indian Orthopaedic Research Group 2023-08 2023-08 /pmc/articles/PMC10465744/ /pubmed/37654764 http://dx.doi.org/10.13107/jocr.2023.v13.i08.3822 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms |
spellingShingle | Case Report Lemons, Wesley J Hampton, Dallas Satalich, James Cinats, David Gracilis Free Flap in a Patient with Sickle Cell Disease |
title | Gracilis Free Flap in a Patient with Sickle Cell Disease |
title_full | Gracilis Free Flap in a Patient with Sickle Cell Disease |
title_fullStr | Gracilis Free Flap in a Patient with Sickle Cell Disease |
title_full_unstemmed | Gracilis Free Flap in a Patient with Sickle Cell Disease |
title_short | Gracilis Free Flap in a Patient with Sickle Cell Disease |
title_sort | gracilis free flap in a patient with sickle cell disease |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465744/ https://www.ncbi.nlm.nih.gov/pubmed/37654764 http://dx.doi.org/10.13107/jocr.2023.v13.i08.3822 |
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