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| Verfasst von: | Xiong, Lingyun [VerfasserIn]  |
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| | Gazyakan, Emre [VerfasserIn] |
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| | Wähmann, Matthias [VerfasserIn] |
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| | Bigdeli, Amir [VerfasserIn] |
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| | Kremer, Thomas [VerfasserIn] |
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| | Harhaus-Wähner, Leila [VerfasserIn] |
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| | Sun, Jiaming [VerfasserIn] |
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| | Kneser, Ulrich [VerfasserIn] |
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| | Hirche, Christoph [VerfasserIn] |
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| Titel: | Microsurgical reconstruction for post-traumatic defects of lower leg in the elderly |
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| Titelzusatz: | A comparative study |
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| Verf.angabe: | Lingyun Xiong, Emre Gazyakan, Matthias Wähmann, Amir Bigdeli, Thomas Kremer, Leila Harhaus, Jiaming Sun, Ulrich Kneser, Christoph Hirche |
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| E-Jahr: | 2016 |
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| Jahr: | 6 September 2016 |
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| Umfang: | 7 S. |
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| Teil: | volume:47 |
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| | year:2016 |
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| | number:11 |
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| | pages:2558-2564 |
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| | extent:7 |
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| Fussnoten: | Gesehen am 28.09.2021 |
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| Titel Quelle: | Enthalten in: Injury |
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| Ort Quelle: | Amsterdam [u.a.] : Elsevier Science, 1969 |
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| Jahr Quelle: | 2016 |
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| Band/Heft Quelle: | 47(2016), 11, Seite 2558-2564 |
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| ISSN Quelle: | 1879-0267 |
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| Abstract: | ABSTRACTS - Background - Lower leg microsurgical reconstruction in the elderly is challenging, especially for post − traumatic defects. The present study aimed to evaluate the risk factors, management and outcome of free tissue transfer in patients older than 65 years of post-traumatic defects. - Methods - Retrospective chart review was performed for all patients older than 18 years undergoing free tissue transfer for post-traumatic lower leg reconstruction from April 2000 to November 2014. A comparative study was designed to identify risk factors and outcome. - Results - In total, 197 patients (ages 18-64) and 44 patients (ages ≥65, average 71.7±6.3) were included and allocated into cohort 1 and 2, respectively. Cohort 2 had a higher rate of diabetes mellitus and/or peripheral artery disease (46.6%, P<0.01). There was no significant difference in major flap complications, donor site complications and amputation rates (P>0.05). A higher rate of intensive care unit (ICU) admission was observed in cohort 2 (37.8%, P<0.01). Comparable limb salvage rates were recorded (97.1% and 95.6%, P=0.59) with an average follow-up of 25.9±30.1months in cohort 1 and 23.7±16.6months in cohort 2. - Conclusion - Post-traumatic microsurgical free tissue transfer to the lower leg can be performed safely in patients older than 65 years with high success rate and manageable complications. |
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| DOI: | doi:10.1016/j.injury.2016.09.010 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1016/j.injury.2016.09.010 |
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| | Volltext: https://www.sciencedirect.com/science/article/pii/S0020138316304405 |
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| | DOI: https://doi.org/10.1016/j.injury.2016.09.010 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | Lower leg |
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| | Microsurgery |
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| | Old patients |
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| K10plus-PPN: | 1771955481 |
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| Verknüpfungen: | → Zeitschrift |
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Microsurgical reconstruction for post-traumatic defects of lower leg in the elderly / Xiong, Lingyun [VerfasserIn]; 6 September 2016 (Online-Ressource)
