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Microvascular soft tissue reconstruction after complicated talocrural arthroplasty

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Abstract

Seven patients were referred to our unit during a 17-month period because of soft tissue problems 2–4 weeks after a talocrural arthroplasty (TCA). The infection was superficial in one and deep in six cases. In all patients the area was revised and a microvascular flap reconstruction was performed. In four cases the prosthesis was left in place and in two TC fusions were done. The flap was selected according to size and shape of the defect. Four partial latissimus dorsi flaps (LD), two gracilis free flaps, and one radial forearm flap (RF) were used. Four of the seven TCAs could be salvaged and no amputations were needed.

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Authors and Affiliations

  1. Department of Plastic Surgery, Helsinki University Central Hospital, P.O. 266, 00029, Helsinki, Finland

    E. Tukiainen & A. Koski

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  1. E. Tukiainen
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  2. A. Koski
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Correspondence to A. Koski.

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Tukiainen, E., Koski, A. Microvascular soft tissue reconstruction after complicated talocrural arthroplasty. Eur J Plast Surg 27, 298–300 (2004). https://doi.org/10.1007/s00238-004-0684-0

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  • DOI: https://doi.org/10.1007/s00238-004-0684-0

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