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- W1956674832 abstract "Total ankle arthroplasty in the right circumstances cannot only relieve discomfort; but, unlike an ankle arthrodesis, can restore enhanced ambulatory capabilities. Subsequent wound healing issues have the potential to ultimately lead to implant removal, a disaster that can be avoided by as early intervention as possible that will provide sustainable wound closure. Over the past 5 years, 5 patients have presented in a delayed fashion with wound breakdown following total ankle arthroplasty that required a free flap for successful prosthesis salvage. The mean wound size was 78.0 cm 2 (range 14–200 cm 2 ). Two gracilis and 2 latissimus dorsi muscle free flaps were chosen as a malleable means not just to cover but to fill these usually large 3‐dimensional wounds. A single radial forearm perforator free flap was selected in one case for a superficial wound that required a long vascular pedicle to reach outside the zone of injury. The postoperative course for all was uneventful, with a minimum follow‐up of 4 months. Function preservation following total ankle arthroplasty wound breakdown even after an untimely delay in referral can still be maintained using microsurgical tissue transfers. © 2014 Wiley Periodicals, Inc. Microsurgery 37:34–37, 2017." @default.
- W1956674832 created "2016-06-24" @default.
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- W1956674832 date "2015-06-09" @default.
- W1956674832 modified "2023-10-06" @default.
- W1956674832 title "The role of free flaps for salvage of the exposed total ankle arthroplasty" @default.
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- W1956674832 doi "https://doi.org/10.1002/micr.22429" @default.
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