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Related Experiment Videos

Tissue expansion in the extremities using external reservoirs.

N B Meland1, S J Loessin, D Thimsen

  • 1Section of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN 55905.

Annals of Plastic Surgery
|July 1, 1992
PubMed
Summary

Tissue expansion in extremities is a viable reconstructive option, achieving a 70% success rate. However, complication rates vary significantly by anatomical location, with lower extremities showing higher risks.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Tissue expansion is a reconstructive technique used for soft tissue defects.
  • Extremity reconstruction presents unique challenges due to anatomical complexity and functional demands.

Observation:

  • A 24-month study involved 33 tissue expanders in 18 patients across upper and lower extremities.
  • Indications included scar revision, tumor excision, and burn reconstruction.
  • Expansion in the distal lower extremity and foot showed higher complication rates (20% infection).

Findings:

  • Overall, 70% of tissue expansions were successful, with successful flap advancement.
  • Complications occurred in 30% of patients, necessitating expander removal.
  • Upper extremity and above-knee expansions had significantly lower complication rates (6%).

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Implications:

  • Tissue expansion is effective for extremity reconstruction, but careful patient selection and anatomical consideration are crucial.
  • Higher complication rates in the distal lower extremity suggest caution in these areas.
  • Further research may optimize protocols for challenging anatomical locations.