Aashmi Chandrikaa, S (2022) A Randomized Control Trial to Compare the Efficacy of Long Posterior Myocutaneous Flap Versus Skew Flap in Transtibial Amputation in a Tertiary Care Hospital. Masters thesis, Madras Medical College, Chennai.
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Abstract
OBJECTIVES: To compare the efficacy of long posterior myocutaneous flap and skew flap techniques in patients undergoing transtibial amputations for diabetic foot sepsis in terms of healthy suture line defined as painless wound, healed by primary intention. The secondary objectives included in the study are the length of the hospital stay, need for re-amputation at same or higher level and thirty-day mortality among the two groups. METHODS: 60 patients who had to undergo transtibial amputation for Ascending foot sepsis were included in this trial and were randomized into two groups-Group L and Group S-based on whether the admission numbers were odd or even. Group A – Long Posterior flap technique closed with 1/0 ethilon using simple/mattress sutures. Group B – Skew Flap -technique closed with 1/0 ethilon using simple/mattress sutures. Suture line on Day 7, need for re-amputation, length of hospital stays and thirty-day mortality rate were recorded in an Excel Sheet and statistical analysis done. RESULTS: The percentage of primary wound healing in Long posterior myocutaneous flap is around 65.63% and 42.86% with a p value of 0.78 that is statistically not significant. The rate of re-amputation rates was 14.29 %. The mortality rate in the study population was 5.97%. CONCLUSION: There is no significant advantage in terms of primary wound healing in patients undergoing transtibial amputation via Skew flap technique or long posterior myocutaneous flap technique. However, since both the flaps confer almost a similar percentage of primary wound healing, skew flap technique can be used as an alternate technique of transtibial amputation in people where a posterior flap cannot be constructed.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221911001 |
| Uncontrolled Keywords: | Transtibial amputation, Skew flap, long posterior flap, Burgess technique. |
| Subjects: | Respiratory Medicine > General Surgery > Respiratory Medicine > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 01 May 2022 03:01 |
| Last Modified: | 22 Jun 2023 04:27 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19571 |
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