Results
All patients showed satisfactory appearance, color, and texture of the
repaired area. Moreover, all patients exhibited satisfactory functional
recovery of the injured limb. None of the secondary healed cases
developed any wound-related problems. Partial loss of STSG was observed
in one patient owing to non-compliance with immobilization. In one of
the local flaps, marginal necrosis occurred at the location determined
with ICGA (Case 11). Wound dehiscence and flap retraction occurred in
one of the free flaps (SCIP) due to excessive mobilization of the
patient. The problem was solved by flap advancement and secondary suture
(Fig. 4). One of the patients in whom ulnar artery perforator flap was
used developed atrial fibrillation during the surgery (Case 8). The
operation was terminated due to the emergency and reconstruction
completed with NPWT and STSG.