{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T20:50:08Z","timestamp":1784062208472,"version":"3.55.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T00:00:00Z","timestamp":1557446400000},"content-version":"vor","delay-in-days":39,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar o uso do retalho fasciocut\u00e2neo sural de fluxo reverso na cobertura de les\u00f5es no ter\u00e7o distal dos membros inferiores.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Foram analisados 24 casos, 20 de origem traum\u00e1tica, tr\u00eas por les\u00f5es esportivas e um por ressec\u00e7\u00e3o de les\u00e3o tumoral.<\/jats:p><jats:p>\n          Resultados\u2003Dos 24 prontu\u00e1rios avaliados, 16 eram homens e oito mulheres. A idade variou de seis a 75 anos. A maioria dos pacientes evoluiu com cicatriza\u00e7\u00e3o total do retalho (21). Houve apenas um caso de necrose total do retalho em paciente diab\u00e9tico insulinodependente e hipertenso, evoluiu para posterior amputa\u00e7\u00e3o do membro. Em dois casos, houve necrose parcial com posterior cicatriza\u00e7\u00e3o por segunda inten\u00e7\u00e3o, um desses pacientes era tabagista pesado. As complica\u00e7\u00f5es foram associadas \u00e0s comorbidades e, ao contr\u00e1rio do evidenciado por outros estudos, n\u00e3o houve correla\u00e7\u00e3o com a curva de aprendizado. Tamb\u00e9m n\u00e3o houve correla\u00e7\u00e3o com o local ou o tamanho da les\u00e3o a ser coberta.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Tem-se como relev\u00e2ncia clinica que a t\u00e9cnica de retalho fasciocut\u00e2neo sural de fluxo reverso usada obteve 87,5% de sucesso, \u00e9 uma op\u00e7\u00e3o vi\u00e1vel e eficaz no arsenal terap\u00eautico das les\u00f5es complexas dos membros inferiores.<\/jats:p>","DOI":"10.1016\/j.rbo.2017.12.016","type":"journal-article","created":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T10:04:31Z","timestamp":1519639471000},"page":"128-133","source":"Crossref","is-referenced-by-count":4,"title":["Reconstru\u00e7\u00e3o de membro inferior \u2013 retalho fasciocut\u00e2neo sural"],"prefix":"10.1055","volume":"54","author":[{"given":"Antonio Lourenco","family":"Severo","sequence":"additional","affiliation":[{"name":"Hospital S\u00e3o Vicente de Paulo (HSVP-RS), Passo Fundo, RS, Brasil"},{"name":"Instituto de Ortopedia e 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