Soft tissue reconstruction in elderly patients must be rapid and reliable. The key-stone island flap (KF) offers an effective solution, with low complication rates and quick recov-ery. This multi-centric study aims to show authors' experience with KFs in treating soft tissue defects of trunk and limbs. Patients with soft tissue defects suitable for KF reconstruction were recruited from March 2019 to December 2019. Active inflammation and previous surgeries in the same region were consid-ered exclusion criteria. Complications that occurred during follow-up were recorded, and their incidence pattern was assessed with the Fisher test. Seventy-two patients with mean age of 76.2 years old were selected. They presented lesions in torso (46; 63.9%) or in upper (4; 5.6%) or lower (22; 30.6%) limb regions. Fifteen (20.8%) wounds were non-oncologic lesions, and the others were oncologic lesions, mostly non-melanoma skin cancers. KF type I was carried out in 42 (58.3%) cases, KF type II-A in 13 (18%) cases, double opposed type III KF in 16 (22.2%) patients, and 1 (1.4%) case required partial flap's undermining (IV KF). Mean post-operative recovery period was 4.3 days (range, 1-9 days). Post-surgical com- plications occurred in 15 (20.8%) cases, 7 (9.7%) of them were considered major complications. No statistically significant difference in complications' incidence, nor among different surgical sites nor among KF types, was registered. Reconstructive surgeons have to adapt their work to elderly patients. The KF allows rapid op- erative times, low morbidity rates, and short post-operative recovery time, thus appearing as a feasible solution . (c) 2021 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by El- sevier Ltd. All rights reserved.

The keystone flap: A multi-centric experience in elderly patients treatment / F. Lo Torto, J.M. Frattaroli, J. Kaciulyte, F.L.R. Mori, L. Troisi, P. Ciudad, O.J. Manrique, M. Marcasciano, G.E. Pajardi, D. Casella, E. Cigna, D. Ribuffo. - In: JOURNAL OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGERY. - ISSN 1878-0539. - 75:1(2022 Jan), pp. 226-239. [10.1016/j.bjps.2021.08.043]

The keystone flap: A multi-centric experience in elderly patients treatment

G.E. Pajardi;
2022

Abstract

Soft tissue reconstruction in elderly patients must be rapid and reliable. The key-stone island flap (KF) offers an effective solution, with low complication rates and quick recov-ery. This multi-centric study aims to show authors' experience with KFs in treating soft tissue defects of trunk and limbs. Patients with soft tissue defects suitable for KF reconstruction were recruited from March 2019 to December 2019. Active inflammation and previous surgeries in the same region were consid-ered exclusion criteria. Complications that occurred during follow-up were recorded, and their incidence pattern was assessed with the Fisher test. Seventy-two patients with mean age of 76.2 years old were selected. They presented lesions in torso (46; 63.9%) or in upper (4; 5.6%) or lower (22; 30.6%) limb regions. Fifteen (20.8%) wounds were non-oncologic lesions, and the others were oncologic lesions, mostly non-melanoma skin cancers. KF type I was carried out in 42 (58.3%) cases, KF type II-A in 13 (18%) cases, double opposed type III KF in 16 (22.2%) patients, and 1 (1.4%) case required partial flap's undermining (IV KF). Mean post-operative recovery period was 4.3 days (range, 1-9 days). Post-surgical com- plications occurred in 15 (20.8%) cases, 7 (9.7%) of them were considered major complications. No statistically significant difference in complications' incidence, nor among different surgical sites nor among KF types, was registered. Reconstructive surgeons have to adapt their work to elderly patients. The KF allows rapid op- erative times, low morbidity rates, and short post-operative recovery time, thus appearing as a feasible solution . (c) 2021 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by El- sevier Ltd. All rights reserved.
Elderly patient; Keystone flap; Soft tissue reconstruction
Settore MED/19 - Chirurgia Plastica
gen-2022
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1012608
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