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Related Experiment Video

Updated: Nov 22, 2025

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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[Circular soft tissue defect after prolonged application of a strangulating compression stocking].

Sophia Juliane Mirtschink1, Elisabeth Manke2, Wolfgang Schneiders2

  • 1Sektion Plastisch-Rekonstruktive Chirurgie, Elblandzentrum für Orthopädie und Unfallchirurgie, Elblandklinikum Riesa, Weinbergstraße 8, 01589, Riesa, Deutschland. Sophia.Mirtschink@elblandkliniken.de.

Der Unfallchirurg
|January 8, 2021
PubMed
Summary
This summary is machine-generated.

Prolonged compression stocking use can cause severe skin and soft tissue defects. A peroneus brevis muscle flap effectively reconstructed exposed tendons in a case of circular necrosis, highlighting patient training importance.

Keywords:
Local flapLower limb reconstructionPedicled flap reconstructionPeroneus brevis muscle flapSoft tissue defect

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Dermatology

Background:

  • Compression stockings are widely used for venous insufficiency and post-operative care.
  • Extended wear can compromise microcirculation, leading to potential tissue damage.
  • Understanding the risks associated with prolonged compression therapy is crucial.

Observation:

  • A case of circular necrosis involving deep skin and soft tissue defects is presented.
  • The defect exposed the tibialis anterior muscle tendon and the Achilles tendon.
  • This severe complication arose from prolonged compression stocking use.

Findings:

  • A peroneus brevis muscle flap successfully covered the exposed Achilles tendon.
  • The flap provided adequate coverage, facilitating tendon protection and healing.
  • Surgical reconstruction using this flap was effective in this complex case.

Implications:

  • The peroneus brevis muscle flap is a viable option for lower leg reconstruction, especially in multimorbid patients, due to short operative and anesthesia times.
  • This case underscores the critical need for comprehensive patient education and training prior to initiating compression therapy.
  • Awareness of potential complications can guide preventative strategies and improve patient outcomes in compression therapy.