Health Condition 1: S672- Crushing injury of hand
Conditions
Interventions
Intervention1: Early division of pedicled flaps: The flaps will be assessed for adequacy of perfusion on the 7th postoperative day by clinical and thermographic methods
ï?? If the flap perfusion is fo
Sponsors
PGIMER
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients of age >=15 years undergoing reconstructive procedure using all types of pedicled flaps 2.Presence of atleast 50% of the wound bed with well vascularized tissue 3.Flaps which have atleast 50 % inset onto the recipient site
Exclusion criteria
Exclusion criteria: 1.Flaps with inadequate inset 2.Absence of atleast 50% well vascularized tissue in the bed 3.Unsatisfactory perfusion of the flap at 24 hours 4.Flaps with smaller surface area such as cross- finger flaps, abbe flaps etc. • Refusal to give consent • Age • Presence of any psychiatric or neurological illness • Pregnant patients • ASA class 3 or 4a • Patients with history of vascular disease(vasculitis, microangipathy etc) • Patients undergoing flap revision surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Flap survival at 10 days (Flap survival will be defined as absence of any vascular compromise or signs of flap failure)Timepoint: 10th day | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢ Morbidity parameters(flap failure, necrosis, dehiscence, wound complications, need for re-operation)Timepoint: upto 6 weeks;â?¢ Presence of joint stiffness and skin maceration in the regions adjoining recipient siteTimepoint: 6 weeks;Day of complete insetTimepoint: 12th day;Day of division of the flap Timepoint: 10th day;Length of hospitalization(LOH)Timepoint: days;Quality of life and function(VAS score)Timepoint: at time of inset,3 weeks and at 6 weeks post operatively | — |
Countries
India
Contacts
Public ContactJerry R John
Postgraduate Institute Of Medical Education and Research(PGIMER)
Outcome results
None listed