Use of bone anchors for flap fixation in burned patients.
Mitek or Arim anchors were developed for use in orthopaedic surgery to facilitate soft tissue fixation to bone. We believe this tool can be useful in difficult cases when securing various flaps to bone, we present a retrospective study of deep thickness burns patients.


METHODS
We conducted a retrospective study, including severely burned patients who underwent flap reconstruction with Mitek or Arim anchor fixation between 1999 and 2007 in our unit. Characteristics analysed included indications for surgery, and postoperative complications.


RESULTS
Nine patients (nine flaps) were included, seven men and two women with age ranging from 22 to 59 years old. Flaps were as follows: one gracilis, two latissimus dorsi, four medial gastrocnemius and two lateral gastrocnemius flaps. Indications for reconstruction were: open fractures or joint exposure in severely burned patient. Only one complication was noted: partial flap necrosis with infection of the bone anchor necessitating ablation and a new mobilisation of the flap.


CONCLUSIONS
Mitek anchors are a useful tool in plastic surgery. Suture anchors are used when coverage poses a risk of shearing away from the bone or adequate periosteum and soft tissue is not available for standard suture techniques. The anchor system provides a simple, fast, and efficient technique for flap fixation.
Danino
Alain M
AM
Centre Hopitalier de l'Universite de Montreal, Montreal, Quebec, Canada H2L 4M1. daninoalain@yahoo.fr
Guberman
Daniel S
DS
Robe
Nicolas
N
D000328:Adult; D002056:Burns / Q000601:surgery*; D005260:Female; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods; D012189:Retrospective Studies; D013524:Surgical Flaps; D053441:Suture Anchors; D055815:Young Adult