Sensory assessment of meshed skin grafts over free gracilis muscle flaps without nerve coaptation for lower extremity reconstruction.

Details

Serval ID
serval:BIB_DE83AE2BD4D7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Sensory assessment of meshed skin grafts over free gracilis muscle flaps without nerve coaptation for lower extremity reconstruction.
Journal
Archives of plastic surgery
Author(s)
Tremp M., Waldkircher N.J., Wang W., Oranges C.M., di Summa P.G., Zhang Y., Wang W., Schaefer D.J., Kalbermatten D.F.
ISSN
2234-6163 (Print)
ISSN-L
2234-6163
Publication state
Published
Issued date
03/2021
Peer-reviewed
Oui
Volume
48
Number
2
Pages
224-230
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Little is known about the sensate recovery of skin grafts over free non-neurotized muscle flaps. The aim of this study was to evaluate the sensitivity of free gracilis muscle flaps and meshed skin grafts without nerve coaptation.
Thirteen consecutive patients with a median age of 55 years (range, 21-70 years) who underwent lower extremity reconstruction between September 2014 and October 2016 were included. Complications, flap contour, skin perception, and sensate recovery were assessed.
All flaps survived completely. In one patient, wound dehiscence and infection occurred 1 month after surgery. After a median follow-up of 14 months (range, 10-51 months), a satisfactory contour and skin perception were achieved. The Semmes-Weinstein (SW) monofilament test (154.8±22 g) and static two-point discrimination (2-PD) (12.6±0.7 mm) showed intermediate recovery compared to the surrounding site (41% and 76%, respectively). There was an intermediate correlation between flap size and sensate recovery (2-PD: r=0.27, P=0.36; SW test: r=0.45, P=0.12). Vibration sensation recovered to 60%, whereas thermal sensation remained poor (19% at 5°C and 25% at 25°C).
Finer sensation could be partially restored. However, thermal sensation remained poor.
Keywords
Muscle flap, Nerve regeneration, Patient outcome assessment, Reconstruction, Sensation
Pubmed
Web of science
Open Access
Yes
Create date
25/04/2020 21:59
Last modification date
17/04/2021 6:33
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