中华创伤杂志(英文版)2023,Vol.26Issue(5) :308-310.DOI:10.1016/j.cjtee.2023.02.002

Unusual case of a free anterolateral thigh flap partial necrosis in a COVID-19 positive young male following extremity reconstruction

Sourabh Shankar Chakraborty Anjana Malhotra Urvi Ashok Shah Shylesh Ramesh Babu Puja Bhaurao Dandekar Doddi Avinash Kumar Chindarkar Himanshu Prakash
中华创伤杂志(英文版)2023,Vol.26Issue(5) :308-310.DOI:10.1016/j.cjtee.2023.02.002

Unusual case of a free anterolateral thigh flap partial necrosis in a COVID-19 positive young male following extremity reconstruction

Sourabh Shankar Chakraborty 1Anjana Malhotra 2Urvi Ashok Shah 2Shylesh Ramesh Babu 2Puja Bhaurao Dandekar 2Doddi Avinash Kumar 2Chindarkar Himanshu Prakash2
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作者信息

  • 1. Department of Burn & Plastic Surgery,All India Institute of Medical Sciences,Kalyani,West Bengal,741245,India
  • 2. Department of Plastic Surgery,South Eastern Railway Central Hospital,Kolkata,West Bengal,700043,India
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Abstract

Free flap procedure provides an overall success rate of 97%,which decreases to 85%in hypercoagulable states.COVID-19,as a pro-thrombotic disorder,therefore seems detrimental to free flap survival.We encountered a case of unique pattern of free flap partial failure in a young male who underwent ex-tremity reconstruction.The patient was diagnosed as COVID-19 positive on the 3rd day post-reconstruction.The flap survived well for the first 7 days post-operatively,but gradually the skin got necrosed and the subcutaneous fat layer was preserved when debriding.To our knowledge,this is the only case in which the skin of the free flap of a COVID-19 positive patient was necrosed almost entirely subsequently,while the subcutaneous fat was relatively preserved.

Key words

COVID-19/Free anterolateral thigh flap/Partial flap failure/Free flap complication

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出版年

2023
中华创伤杂志(英文版)
中华医学会

中华创伤杂志(英文版)

CSTPCDCSCD北大核心
影响因子:0.608
ISSN:1008-1275
参考文献量5
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