BMC musculoskeletal disorders · 2025
Ring-and-flap: a novel and accessible alternative to fix-and-flap in Gustilo IIIB-C open tibia fractures (an institutional experience).
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Yeo Jonathan, Sun Jeremy Mingfa, Moo Ing How, Yuan Wei, Boo Ho Chin, Yeo Andy Kuei Siong
Аннотация
BACKGROUND: The fix-and-flap regime is resource intense and may not be readily available. As an alternative, the ring fixator serves as a versatile option for limb salvage, however it poses challenges to soft tissue reconstruction due to the limited working space around the rings and pins. We describe an institutional experience with a novel ring-and-flap regime utilising an open ring technique-which optimises the ring fixator construct for the flexibility of interval soft-tissue reconstruction.
METHODS: A retrospective review of patients treated with a novel ring-and-flap regime over 2017-2024 was conducted. Demographic data, comorbidities, intraoperative details, and postoperative outcomes were collected.
RESULTS: 6 patients were included. Soft tissue reconstruction took place at a median of 12 days (minimum 2, maximum 154) after ring fixation. The median duration on the ring fixator was 144 days (minimum 74, maximum 270). Most patients (4/6) developed osteomyelitis but all achieved union and regained ambulatory function. 2/6 required flap revision due to vascular thrombosis. The ring fixator served as definitive fixation in 2 patients; whilst the remainder opted for internalisation.
CONCLUSION: The novel ring-and-flap regime may provide a practical and safe pathway for limb salvage in resource limited settings, bridging the gap until specialised ortho-plastics care is available.
METHODS: A retrospective review of patients treated with a novel ring-and-flap regime over 2017-2024 was conducted. Demographic data, comorbidities, intraoperative details, and postoperative outcomes were collected.
RESULTS: 6 patients were included. Soft tissue reconstruction took place at a median of 12 days (minimum 2, maximum 154) after ring fixation. The median duration on the ring fixator was 144 days (minimum 74, maximum 270). Most patients (4/6) developed osteomyelitis but all achieved union and regained ambulatory function. 2/6 required flap revision due to vascular thrombosis. The ring fixator served as definitive fixation in 2 patients; whilst the remainder opted for internalisation.
CONCLUSION: The novel ring-and-flap regime may provide a practical and safe pathway for limb salvage in resource limited settings, bridging the gap until specialised ortho-plastics care is available.