[Defect coverage with myofasciocutaneous free flaps. Consequence of corticosteroid infiltration of the wrist in a patient on immunosuppressive therapy].
Intra-articular corticosteroid injection and radiation of the wrist was performed in a patient on immunosuppressive therapy. She sustained empyema and impending compartment syndrome. After fasciotomy, debridement and antibiotic therapy had been performed, we provided soft tissue coverage by a combined ALTP and muscular free flap on the vascular trunk of the descending branch of the lateral circumflex femoral artery. There were no complications and the patient is very satisfied with the outcome.
Abteilung für Unfallchirurgie, Akademische Lehrabteilung der medizinischen Universität Graz, Landeskrankenhaus Klagenfurt, St. Veither Straße 47, A-9020, Klagenfurt am Wörthersee, Österreich. Markus@Konieczny.net
M R
MR
Konieczny
E J
EJ
Müller
A
A
Gaggl
K-H
KH
Bürger
D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D000328:Adult; D003161:Compartment Syndromes / Q000139:chemically induced* / Q000601:surgery*; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D061525:Perforator Flap / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014953:Wrist / Q000601:surgery*
D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents