Scholarlink

Background <p>The fix-and-flap regime is resource intense and may not be readily available. As an alternative, the ring fixator serves as a versatile option for limb salvage, however it poses challenges to soft tissue reconstruction due to the limited working space around the rings and pins. We describe an institutional experience with a novel ring-and-flap regime utilising an open ring technique—which optimises the ring fixator construct for the flexibility of interval soft-tissue reconstruction.</p> Methods <p>A retrospective review of patients treated with a novel ring-and-flap regime over 2017–2024 was conducted. Demographic data, comorbidities, intraoperative details, and postoperative outcomes were collected.</p> Results <p>6 patients were included. Soft tissue reconstruction took place at a median of 12 days (minimum 2, maximum 154) after ring fixation. The median duration on the ring fixator was 144 days (minimum 74, maximum 270). Most patients (4/6) developed osteomyelitis but all achieved union and regained ambulatory function. 2/6 required flap revision due to vascular thrombosis. The ring fixator served as definitive fixation in 2 patients; whilst the remainder opted for internalisation.</p> Conclusion <p>The novel ring-and-flap regime may provide a practical and safe pathway for limb salvage in resource limited settings, bridging the gap until specialised ortho-plastics care is available.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Ring-and-flap: a novel and accessible alternative to fix-and-flap in Gustilo IIIB-C open tibia fractures (an institutional experience)

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月10日

查看全文
  • Jonathan Yeo,
  • Jeremy Mingfa Sun,
  • Ing How Moo ,
  • Wei Yuan,
  • Ho Chin Boo,
  • Andy Kuei Siong Yeo

摘要

Background

The fix-and-flap regime is resource intense and may not be readily available. As an alternative, the ring fixator serves as a versatile option for limb salvage, however it poses challenges to soft tissue reconstruction due to the limited working space around the rings and pins. We describe an institutional experience with a novel ring-and-flap regime utilising an open ring technique—which optimises the ring fixator construct for the flexibility of interval soft-tissue reconstruction.

Methods

A retrospective review of patients treated with a novel ring-and-flap regime over 2017–2024 was conducted. Demographic data, comorbidities, intraoperative details, and postoperative outcomes were collected.

Results

6 patients were included. Soft tissue reconstruction took place at a median of 12 days (minimum 2, maximum 154) after ring fixation. The median duration on the ring fixator was 144 days (minimum 74, maximum 270). Most patients (4/6) developed osteomyelitis but all achieved union and regained ambulatory function. 2/6 required flap revision due to vascular thrombosis. The ring fixator served as definitive fixation in 2 patients; whilst the remainder opted for internalisation.

Conclusion

The novel ring-and-flap regime may provide a practical and safe pathway for limb salvage in resource limited settings, bridging the gap until specialised ortho-plastics care is available.