Reconstructing Complex Open Back Wounds with a Modified Minimal-Access Keystone Flap: A Case Report.

Authors :: Anderson SR
Rako KM
Wimalawansa SM
Source :: JBJS case connector [JBJS Case Connect] 2020 Dec 24; Vol. 10 (4), pp. e20.00128. Date of Electronic Publication: 2020 Dec 24.
Publication Year :: 2020
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.<br />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.<br />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).<br /> (Copyright © 2020 by The Journal of Bone and Joint Surgery, Incorporated.)

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

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