1. Reconstructing Complex Open Back Wounds with a Modified Minimal-Access Keystone Flap: A Case Report.
- Author
-
Anderson SR, Rako KM, and Wimalawansa SM
- Subjects
- Acinetobacter Infections drug therapy, Anti-Bacterial Agents therapeutic use, Female, Humans, Methicillin-Resistant Staphylococcus aureus, Middle Aged, Reoperation adverse effects, Staphylococcal Infections drug therapy, Surgical Wound Dehiscence microbiology, Spinal Fusion adverse effects, Surgical Flaps, Surgical Wound Dehiscence surgery
- Abstract
Case: A 61-year-old patient was referred 12 days postoperative with complex, infected, and dehisced paraspinal wound. After debridement and revision of hardware, deep dead space was eliminated through bilateral paraspinal muscle flap advancement. After hardware coverage, a large skin and tissue defect remained. The defect was reconstructed using a modified Keystone flap, eliminating the lateral cutaneous incision. Our patient healed without complication., Conclusion: The modified Keystone flap is an option for reconstructing spinal wound defects, yielding excellent tissue coverage and advancement, grants additional flap advancement if necessary because of elimination of the lateral cutaneous incision, and an overall pleasing aesthetic result., Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B329)., (Copyright © 2020 by The Journal of Bone and Joint Surgery, Incorporated.)
- Published
- 2020
- Full Text
- View/download PDF