Reconstruction of limited soft-tissue defect with open tibial fracture in the distal third of the leg

A cost and outcome study

Brian P. Thornton, William J. Rosenblum, Lee Li-Qun Pu

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

This study was conducted to analyze the cost and outcome of free-tissue transfers versus local muscle flaps for reconstruction of limited soft-tissue defects associated with tibial fractures in the distal third of the leg. Twelve adult patients underwent either free (n = 6) or local muscle (n = 6) flap reconstruction were retrospectively reviewed. Total operative time for local muscle flap reconstruction was 215 ± 47 minutes compared with 450 ± 90 minutes (P < 0.0002) for free-muscle transfer. Median length of hospital stay after reconstruction was 7 days for local muscle flap compared with 9 days for free-muscle transfer. Total cost of the local muscle flap procedure was $11,729 ± $4460 compared with $19,989 ± $3295 (P < 0.0004) for free-flap reconstruction. Five of 6 patients in each group had excellent soft-tissue contours. Fracture healing was evident in all patients of each group. Thus, a local muscle flap for reconstruction of a limited distal tibial wound appears to be more cost-effective than free-tissue transfer because of equivocal outcomes achieved but at approximately half of the cost.

Original languageEnglish (US)
Pages (from-to)276-280
Number of pages5
JournalAnnals of Plastic Surgery
Volume54
Issue number3
DOIs
StatePublished - Mar 2005
Externally publishedYes

Fingerprint

Tibial Fractures
Open Fractures
Leg
Outcome Assessment (Health Care)
Costs and Cost Analysis
Muscles
Length of Stay
Fracture Healing
Free Tissue Flaps
Operative Time
Wounds and Injuries

Keywords

  • Free tissue transfer
  • Lower extremity
  • Open tibial wound
  • Outcome study
  • Soleus muscle flap

ASJC Scopus subject areas

  • Surgery

Cite this

Reconstruction of limited soft-tissue defect with open tibial fracture in the distal third of the leg : A cost and outcome study. / Thornton, Brian P.; Rosenblum, William J.; Pu, Lee Li-Qun.

In: Annals of Plastic Surgery, Vol. 54, No. 3, 03.2005, p. 276-280.

Research output: Contribution to journalArticle

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