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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | IAMAGUCHI, Raquel Bernardelli | |
dc.contributor.author | MORAES, Marco Aurelio de | |
dc.contributor.author | SILVA, Gustavo Bersani | |
dc.contributor.author | CHO, Alvaro Baik | |
dc.contributor.author | IWASE, Fernanda do Carmo | |
dc.contributor.author | WEI, Teng Hsiang | |
dc.contributor.author | REZENDE, Marcelo Rosa de | |
dc.contributor.author | MATTAR JR., Rames | |
dc.date.accessioned | 2019-09-23T14:19:35Z | - |
dc.date.available | 2019-09-23T14:19:35Z | - |
dc.date.issued | 2019 | |
dc.identifier.citation | ACTA ORTOPEDICA BRASILEIRA, v.27, n.4, p.192-196, 2019 | |
dc.identifier.issn | 1413-7852 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/33535 | - |
dc.description.abstract | Objective: Although our knowledge of bone reconstruction through microsurgery has increased, the vascularized fibula flap remains one of the most difficult free flap reconstructions to perform, and complications remain a challenge. The incidence of obesity is increasing and is associated with higher rates of free flap complications, which can lead to disastrous results. Since there is no consensus in literature regarding the influence of obesity on free flap outcomes in orthopedic surgeries that require segmental bone reconstruction, the objective of this study was to determine whether obesity increases the risk of post-operative complications (Clavien-Dindo grade III) after free vascularized fibular flap surgery. Methods: A cohort study was conducted in all patients undergoing free flap limb reconstructions between July 2014 and July 2018. Patients were separated in two groups based on their body mass index (BM I): non-obese and obese (BMI >= 30 kg/m(2)). Results: Twenty-three free vascularized fibular flaps were studied. The indications included trauma in 13, tumors in 7, and congenital pseudarthrosis of the tibia in 3. Obese patients were associated with an increase in surgical complications (p=0.038). During the final follow-up, consolidation was obtained in 17 patients (74%). Conclusion: Obesity is a risk factor for complications in free vascularized fibular flap surgery. | eng |
dc.language.iso | eng | |
dc.publisher | ATHA COMUNICACAO & EDITORA | eng |
dc.relation.ispartof | Acta Ortopedica Brasileira | |
dc.rights | openAccess | eng |
dc.subject | Microsurgery | eng |
dc.subject | Free tissue flaps | eng |
dc.subject | Tissue transplantation | eng |
dc.subject | Risk factors | eng |
dc.subject | Fibula | eng |
dc.subject.other | long-bone reconstruction | eng |
dc.subject.other | graft | eng |
dc.title | IS OBESITY A RISK FACTOR FOR FREE VASCULARIZED FIBULAR FLAP COMPLICATIONS? | eng |
dc.type | article | eng |
dc.rights.holder | Copyright ATHA COMUNICACAO & EDITORA | eng |
dc.identifier.doi | 10.1590/1413-785220192704217444 | |
dc.identifier.pmid | 31452618 | |
dc.subject.wos | Orthopedics | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.description.beginpage | 192 | |
hcfmusp.description.endpage | 196 | |
hcfmusp.description.issue | 4 | |
hcfmusp.description.volume | 27 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000478091600001 | |
hcfmusp.origem.id | 2-s2.0-85070676802 | |
hcfmusp.origem.id | SCIELO:S1413-78522019000400192 | |
hcfmusp.publisher.city | SAO PAULO SP | eng |
hcfmusp.publisher.country | BRAZIL | eng |
hcfmusp.relation.reference | Belt PJ, 2005, BRIT J PLAST SURG, V58, P425, DOI 10.1016/j.bjps.2004.11.002 | eng |
hcfmusp.relation.reference | Beris AE, 2011, MICROSURG, V31, P205, DOI 10.1002/micr.20841 | eng |
hcfmusp.relation.reference | Bumbasirevic M, 2014, INT ORTHOP, V38, P1277, DOI 10.1007/s00264-014-2281-6 | eng |
hcfmusp.relation.reference | Chang DW, 2000, PLAST RECONSTR SURG, V105, P1640, DOI 10.1097/00006534-200004050-00007 | eng |
hcfmusp.relation.reference | Clavien PA, 2009, ANN SURG, V250, P187, DOI 10.1097/SLA.0b013e3181b13ca2 | eng |
hcfmusp.relation.reference | Cleveland EC, 2014, J RECONSTR MICROSURG, V30, P263, DOI 10.1055/s-0033-1357279 | eng |
hcfmusp.relation.reference | de la Garza G, 2016, HEAD NECK-J SCI SPEC, V38, pE1188, DOI 10.1002/hed.24189 | eng |
hcfmusp.relation.reference | Iamaguchi RB, 2011, INT ORTHOP, V35, P1065, DOI 10.1007/s00264-010-1103-8 | eng |
hcfmusp.relation.reference | Khouri RK, 1998, PLAST RECONSTR SURG, V102, P711, DOI 10.1097/00006534-199809030-00015 | eng |
hcfmusp.relation.reference | MOREIRA LUIS FERNANDO, 2016, Rev. Col. Bras. Cir., V43, P141, DOI 10.1590/0100-69912016003001 | eng |
hcfmusp.relation.reference | Namba RS, 2012, J BONE JOINT SURG BR, V94B, P1330, DOI 10.1302/0301-620X.94B10.29184 | eng |
hcfmusp.relation.reference | Repo JP, 2016, J RECONSTR MICROSURG, V32, P513, DOI 10.1055/s-0036-1581075 | eng |
hcfmusp.relation.reference | Shin JY, 2016, MEDICINE, V95, DOI 10.1097/MD.0000000000004072 | eng |
hcfmusp.relation.reference | Taylor GI, 2016, PLAST RECONSTR SURG, V137, P1292, DOI 10.1097/PRS.0000000000002040 | eng |
hcfmusp.relation.reference | Zaretski A, 2004, PLAST RECONSTR SURG, V113, P1989, DOI 10.1097/01.prs.000122213.82011.c5 | eng |
dc.description.index | PubMed | eng |
dc.identifier.eissn | 1809-4406 | |
hcfmusp.citation.scopus | 5 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MOT Artigos e Materiais de Revistas Científicas - HC/IOT Artigos e Materiais de Revistas Científicas - LIM/41 Artigos e Materiais de Revistas Científicas - ODS/03 |
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