Reconstruction of foot and ankle defects using the vaccum sealing drainage versus the induced‐membrane the elderly: A retrospective comparative study

The purpose of this study was to compare the reconstructive outcomes of soft‐tissue defects around foot and ankle with vaccum sealing drainage (VSD) or induction membrane (IM) of cement formation and attempt to provide an optimal strategy for elderly patients. A retrospective review of all continuou...

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Bibliographic Details
Published in:International wound journal 2024-01, Vol.21 (1), p.e14362-n/a
Main Authors: Zhou, Feiya, Zhang, Yingying, Gao, Jianyuan, Xiang, Guangheng, Li, Zhijie, Cai, Leyi
Format: Article
Language:English
Subjects:
Aged
Alcohol
Amputation
Ankle
Ankle - surgery
Debridement
Defects
Diabetes
Drainage
foot and ankle
Hospitalization
Hospitals
Humans
induction membrane
Lower Extremity - surgery
Males
Original
Plastic surgery
Retrospective Studies
Skin & tissue grafts
Skin Transplantation - methods
Soft Tissue Injuries - surgery
soft‐tissue defects
Treatment Outcome
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A
VSD
Wound healing
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Summary:The purpose of this study was to compare the reconstructive outcomes of soft‐tissue defects around foot and ankle with vaccum sealing drainage (VSD) or induction membrane (IM) of cement formation and attempt to provide an optimal strategy for elderly patients. A retrospective review of all continuous patients with foot and ankle reconstruction using different flaps from October of 2016 and October of 2020 was performed. Based on the different way, the patients were divided into two groups: VSD group (n = 26) and IM group (n = 27). Outcomes were assessed according to the size of the defect, frequency of debridement procedures, hospitalization time, duration of healing, the healing rate, major amputation rate, functional outcomes and complications. Immunohistochemistry (IHC) detection of vascular endothelial growth factor (VEGF) was also be completed. We found that there was no difference in demographic characteristics, size of the defect, debridement times and functional outcomes between the two groups (p > 0.05); however, a significant difference in the wound healing time, hospitalization time and complications were noted between them(p 
ISSN:1742-4801
1742-481X
DOI:10.1111/iwj.14362