SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES

Detalhes bibliográficos
Autor(a) principal: Covello,Gabriel Sardini
Data de Publicação: 2022
Outros Autores: Martins,Danilo Vidal Ribeiro, Padilha,Giovani Caetano, Cavalheiro,Cristina Schmitt, Vieira,Luiz Angelo, Caetano,Edie Benedito
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Acta Ortopédica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000400209
Resumo: ABSTRACT Objective: To report the use of the serratus anterior free tissue transfer in the treatment of traumatic injuries. Methods: Twenty-six free flaps or serratus pedicled flaps were performed for reconstruction of traumatic extremity injuries. Results: Complete flap survival was recorded in 20 limbs and 3 patients had circulatory complications. Even with the review of vascular anastomoses, partial flap necrosis could not be prevented and required a skin graft after debridement in the necrotic area. Another flap also required reexploration as a result of heavy congestion due to impaired venous return. Superficial wound infection was found in three patients and treated with conservative measures. Regarding the donor area, seroma formation was found in 8 cases; drainage was necessary in 2, and the others were resolved spontaneously. In 2, bruises formed and were later drained. In 1 limb there was long thoracic nerve injury and scapular winging. Conclusion: According to this study, the serratus anterior muscle flap is an excellent tool for treating small complex lesions in the extremities. Level of Evidence IV; Case series .
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spelling SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIESFree Tissue FlapsUpper ExtremityHand InjuriesABSTRACT Objective: To report the use of the serratus anterior free tissue transfer in the treatment of traumatic injuries. Methods: Twenty-six free flaps or serratus pedicled flaps were performed for reconstruction of traumatic extremity injuries. Results: Complete flap survival was recorded in 20 limbs and 3 patients had circulatory complications. Even with the review of vascular anastomoses, partial flap necrosis could not be prevented and required a skin graft after debridement in the necrotic area. Another flap also required reexploration as a result of heavy congestion due to impaired venous return. Superficial wound infection was found in three patients and treated with conservative measures. Regarding the donor area, seroma formation was found in 8 cases; drainage was necessary in 2, and the others were resolved spontaneously. In 2, bruises formed and were later drained. In 1 limb there was long thoracic nerve injury and scapular winging. Conclusion: According to this study, the serratus anterior muscle flap is an excellent tool for treating small complex lesions in the extremities. Level of Evidence IV; Case series .ATHA EDITORA2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000400209Acta Ortopédica Brasileira v.30 n.spe1 2022reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-785220223001e250673info:eu-repo/semantics/openAccessCovello,Gabriel SardiniMartins,Danilo Vidal RibeiroPadilha,Giovani CaetanoCavalheiro,Cristina SchmittVieira,Luiz AngeloCaetano,Edie Beneditoeng2022-07-04T00:00:00Zoai:scielo:S1413-78522022000400209Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2022-07-04T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES
title SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES
spellingShingle SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES
Covello,Gabriel Sardini
Free Tissue Flaps
Upper Extremity
Hand Injuries
title_short SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES
title_full SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES
title_fullStr SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES
title_full_unstemmed SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES
title_sort SERRATUS ANTERIOR MUSCLE FLAP FOR RECONSTRUCTION OF EXTREMITY INJURIES
author Covello,Gabriel Sardini
author_facet Covello,Gabriel Sardini
Martins,Danilo Vidal Ribeiro
Padilha,Giovani Caetano
Cavalheiro,Cristina Schmitt
Vieira,Luiz Angelo
Caetano,Edie Benedito
author_role author
author2 Martins,Danilo Vidal Ribeiro
Padilha,Giovani Caetano
Cavalheiro,Cristina Schmitt
Vieira,Luiz Angelo
Caetano,Edie Benedito
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Covello,Gabriel Sardini
Martins,Danilo Vidal Ribeiro
Padilha,Giovani Caetano
Cavalheiro,Cristina Schmitt
Vieira,Luiz Angelo
Caetano,Edie Benedito
dc.subject.por.fl_str_mv Free Tissue Flaps
Upper Extremity
Hand Injuries
topic Free Tissue Flaps
Upper Extremity
Hand Injuries
description ABSTRACT Objective: To report the use of the serratus anterior free tissue transfer in the treatment of traumatic injuries. Methods: Twenty-six free flaps or serratus pedicled flaps were performed for reconstruction of traumatic extremity injuries. Results: Complete flap survival was recorded in 20 limbs and 3 patients had circulatory complications. Even with the review of vascular anastomoses, partial flap necrosis could not be prevented and required a skin graft after debridement in the necrotic area. Another flap also required reexploration as a result of heavy congestion due to impaired venous return. Superficial wound infection was found in three patients and treated with conservative measures. Regarding the donor area, seroma formation was found in 8 cases; drainage was necessary in 2, and the others were resolved spontaneously. In 2, bruises formed and were later drained. In 1 limb there was long thoracic nerve injury and scapular winging. Conclusion: According to this study, the serratus anterior muscle flap is an excellent tool for treating small complex lesions in the extremities. Level of Evidence IV; Case series .
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000400209
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000400209
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1413-785220223001e250673
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv ATHA EDITORA
publisher.none.fl_str_mv ATHA EDITORA
dc.source.none.fl_str_mv Acta Ortopédica Brasileira v.30 n.spe1 2022
reponame:Acta Ortopédica Brasileira (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron:SBOT
instname_str Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron_str SBOT
institution SBOT
reponame_str Acta Ortopédica Brasileira (Online)
collection Acta Ortopédica Brasileira (Online)
repository.name.fl_str_mv Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
repository.mail.fl_str_mv 1atha@uol.com.br||actaortopedicabrasileira@uol.com.br
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