Risk assessment in delayed free flap reconstruction for severe lower extremity trauma.
Keisuke ShimboRikuo ShinomiyaToru SunagawaNobuo AdachiPublished in: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie (2022)
Our risk assessment system showed that the risk of vascular thrombosis was high at ≥ 3 points and that of complete flap failure was high at ≥ 4 points. Significantly, elevated levels of D-dimer, CPK, and CRP require more caution during reconstruction using free flaps.