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Verfasst von:Xiong, Lingyun [VerfasserIn]   i
 Gazyakan, Emre [VerfasserIn]   i
 Wähmann, Matthias [VerfasserIn]   i
 Bigdeli, Amir [VerfasserIn]   i
 Kremer, Thomas [VerfasserIn]   i
 Harhaus-Wähner, Leila [VerfasserIn]   i
 Sun, Jiaming [VerfasserIn]   i
 Kneser, Ulrich [VerfasserIn]   i
 Hirche, Christoph [VerfasserIn]   i
Titel:Microsurgical reconstruction for post-traumatic defects of lower leg in the elderly
Titelzusatz:A comparative study
Verf.angabe:Lingyun Xiong, Emre Gazyakan, Matthias Wähmann, Amir Bigdeli, Thomas Kremer, Leila Harhaus, Jiaming Sun, Ulrich Kneser, Christoph Hirche
E-Jahr:2016
Jahr:6 September 2016
Umfang:7 S.
Teil:volume:47
 year:2016
 number:11
 pages:2558-2564
 extent:7
Fussnoten:Gesehen am 28.09.2021
Titel Quelle:Enthalten in: Injury
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1969
Jahr Quelle:2016
Band/Heft Quelle:47(2016), 11, Seite 2558-2564
ISSN Quelle:1879-0267
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.
DOI:doi:10.1016/j.injury.2016.09.010
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
 Volltext: https://www.sciencedirect.com/science/article/pii/S0020138316304405
 DOI: https://doi.org/10.1016/j.injury.2016.09.010
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Lower leg
 Microsurgery
 Old patients
K10plus-PPN:1771955481
Verknüpfungen:→ Zeitschrift

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