DONOR SITE MORBIDITY: A COMPARISON OF THE RADIAL FOREARM FREE FLAP AND ANTEROLATERAL THIGH FREE FLAP

Objective: To compare the donor site morbidity of these two flaps in terms of wound infection, wound dehiscence, skin graft take/primary healing, sensory abnormalities, functional loss and subjective analysis of donor site appearance. Study Design: Comparative cross-sectional study. Place and...

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Autores principales: Mehreen Masud Qureshi, Mamoon Rashid, Saleem Malik, M. Ibrahim Malik, Saad Ur Rehman Sarwar
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2019
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Acceso en línea:https://doaj.org/article/f2a24ad92aeb4b17b2bc8b2bd417b2e5
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spelling oai:doaj.org-article:f2a24ad92aeb4b17b2bc8b2bd417b2e52021-11-11T04:57:37ZDONOR SITE MORBIDITY: A COMPARISON OF THE RADIAL FOREARM FREE FLAP AND ANTEROLATERAL THIGH FREE FLAP0030-96482411-8842https://doaj.org/article/f2a24ad92aeb4b17b2bc8b2bd417b2e52019-08-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3215/2324https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the donor site morbidity of these two flaps in terms of wound infection, wound dehiscence, skin graft take/primary healing, sensory abnormalities, functional loss and subjective analysis of donor site appearance. Study Design: Comparative cross-sectional study. Place and Duration of Study: The study was conducted at Shifa international hospital over a period of 2 years, from Jan 2015 to Apr 2017. Patients and Methods: A total of 53 patients who demanded reconstruction, either with RFFF or ALTF were included nin the study. A detail preoperative workup was performed. All the free flaps were harvested, using standard surgical techniques. The fore-mentioned variables were recorded on follow up visit. Results: The frequency of wound infection was comparable in the two groups. ALTF group was better than RFFF group in terms of graft take (87% vs 81%), sensory deficit (37% vs 62%) and loss of function (6%vs 27%). Conclusion: Considering its reliability, versatility, ability to provide large amount of tissue, low donor site morbidity and concealed donor site, ALTF has become our work horse flap for reconstruction of pure soft tissue defects.Mehreen Masud QureshiMamoon RashidSaleem MalikM. Ibrahim MalikSaad Ur Rehman SarwarArmy Medical College Rawalpindiarticleantero-lateral thigh free flapdonor site morbidityMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 4, Pp 863-869 (2019)
institution DOAJ
collection DOAJ
language EN
topic antero-lateral thigh free flap
donor site morbidity
Medicine
R
Medicine (General)
R5-920
spellingShingle antero-lateral thigh free flap
donor site morbidity
Medicine
R
Medicine (General)
R5-920
Mehreen Masud Qureshi
Mamoon Rashid
Saleem Malik
M. Ibrahim Malik
Saad Ur Rehman Sarwar
DONOR SITE MORBIDITY: A COMPARISON OF THE RADIAL FOREARM FREE FLAP AND ANTEROLATERAL THIGH FREE FLAP
description Objective: To compare the donor site morbidity of these two flaps in terms of wound infection, wound dehiscence, skin graft take/primary healing, sensory abnormalities, functional loss and subjective analysis of donor site appearance. Study Design: Comparative cross-sectional study. Place and Duration of Study: The study was conducted at Shifa international hospital over a period of 2 years, from Jan 2015 to Apr 2017. Patients and Methods: A total of 53 patients who demanded reconstruction, either with RFFF or ALTF were included nin the study. A detail preoperative workup was performed. All the free flaps were harvested, using standard surgical techniques. The fore-mentioned variables were recorded on follow up visit. Results: The frequency of wound infection was comparable in the two groups. ALTF group was better than RFFF group in terms of graft take (87% vs 81%), sensory deficit (37% vs 62%) and loss of function (6%vs 27%). Conclusion: Considering its reliability, versatility, ability to provide large amount of tissue, low donor site morbidity and concealed donor site, ALTF has become our work horse flap for reconstruction of pure soft tissue defects.
format article
author Mehreen Masud Qureshi
Mamoon Rashid
Saleem Malik
M. Ibrahim Malik
Saad Ur Rehman Sarwar
author_facet Mehreen Masud Qureshi
Mamoon Rashid
Saleem Malik
M. Ibrahim Malik
Saad Ur Rehman Sarwar
author_sort Mehreen Masud Qureshi
title DONOR SITE MORBIDITY: A COMPARISON OF THE RADIAL FOREARM FREE FLAP AND ANTEROLATERAL THIGH FREE FLAP
title_short DONOR SITE MORBIDITY: A COMPARISON OF THE RADIAL FOREARM FREE FLAP AND ANTEROLATERAL THIGH FREE FLAP
title_full DONOR SITE MORBIDITY: A COMPARISON OF THE RADIAL FOREARM FREE FLAP AND ANTEROLATERAL THIGH FREE FLAP
title_fullStr DONOR SITE MORBIDITY: A COMPARISON OF THE RADIAL FOREARM FREE FLAP AND ANTEROLATERAL THIGH FREE FLAP
title_full_unstemmed DONOR SITE MORBIDITY: A COMPARISON OF THE RADIAL FOREARM FREE FLAP AND ANTEROLATERAL THIGH FREE FLAP
title_sort donor site morbidity: a comparison of the radial forearm free flap and anterolateral thigh free flap
publisher Army Medical College Rawalpindi
publishDate 2019
url https://doaj.org/article/f2a24ad92aeb4b17b2bc8b2bd417b2e5
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