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- Title
Kickstand External Fixator for Immobilization Following Free Flap Plantar Calcaneal Reconstruction.
- Authors
Kachare, Swapnil D.; Vivace, Bradley J.; Henderson, Joshua T.; Kachare, Milind; Kapsalis, Christina; Fulfer, Jamie L.; Choo, Joshua; Wilhelmi, Bradon J.
- Abstract
Objective: Management of calcaneal wounds is challenging due to a paucity of tissue, complex local anatomy, and limited vascularity. These wounds are commonly associated with lower extremity fractures, which are often treated with external fixation. Free tissue transfers are frequently employed as a means for closure of plantar heel wounds; however, postoperative management can be challenging due to their dependent location. We sought to describe how simple modification of the external fixator can help relieve direct pressure, provide joint immobilization, and optimize accessibility necessary for flap survival. Methods: Three patients requiring autologous free tissue reconstruction of hindfoot defects were immobilized using an external fixator with a “kickstand” modification. Viability of the transferred tissue and the postoperative outcomes were assessed. Results: All free flaps survived with no associated complications. The “kickstand” modification was well tolerated with minimal discomfort. All 3 patients expressed satisfaction with early return to ambulation. Conclusion: An external fixator with a “kickstand” modification provides an essential function in maintaining the viability of the transferred tissue to plantar calcaneal wounds.
- Subjects
EXTERNAL fixators; FREE flaps; PATIENT satisfaction; LEG; MANAGEMENT by objectives
- Publication
ePlasty: Open Access Journal of Plastic Surgery, 2019, Vol 19, p81
- ISSN
1937-5719
- Publication type
Article