{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:55Z","timestamp":1787840575290,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n Upper limb injuries requiring soft tissue coverage are common in our environment. These reconstructions provide protection for vital structures and enable tendon gliding. Despite the frequency of these, there is a lack of data on the scope of soft tissue reconstruction and outcomes in our subregion.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To demonstrate the scope and outcome of soft tissue reconstruction of upper limb injuries, we conducted a study at a major plastic surgery service in Southwestern Nigeria.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n This study employed a cross-sectional analytic approach, focusing on all patients with upper limb injuries requiring soft tissue reconstruction between April 2022 and March 2023.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n During the study period, a total of 49 patients underwent soft tissue reconstruction for upper limb injuries, with a mean age of 36.4\u2009\u00b1\u200911.3 years. The majority were male (\n n<\/jats:italic>\n = 40, 81.6%). The methods of reconstruction included flaps (51%,\n n<\/jats:italic>\n = 25) of cases, direct closure (36.7%,\n n<\/jats:italic>\n = 18), and skin grafting (12.3%,\n n<\/jats:italic>\n = 6). Among flap options, local flaps were utilized in 48% (\n n<\/jats:italic>\n = 12), regional flaps in 32% (\n n<\/jats:italic>\n = 8), and distant flaps in 20% (\n n<\/jats:italic>\n = 5). The median time from injury to surgery, surgery to discharge, and length of hospital stay are 6 days, 6 days, and 13 days, respectively. Patients undergoing local flaps had a shorter injury-to-surgery time compared to those receiving regional and distant flaps (\n P<\/jats:italic>\n = 0.026). Patients undergoing skin grafting, regional flaps, and distant flaps experienced longer hospital stays compared to those with direct closure and local flaps (\n P<\/jats:italic>\n = 0.000). The in-patient complication rate was 14.3%.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The methods of soft tissue reconstruction for upper limb injuries in our institution include flaps, skin grafting, and direct closure.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jwas.jwas_33_24","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T05:11:23Z","timestamp":1725513083000},"page":"217-223","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Soft Tissue Reconstruction of Upper Limb Injuries in Southwestern Nigeria: Methods and Outcome"],"prefix":"10.4103","volume":"15","author":[{"given":"Afieharo Igbigbia","family":"Michael","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinsunum Peace","family":"Isamah","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olayinka Adebanji","family":"Olawoye","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel Adesina","family":"Ademola","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayodele Olukayode","family":"Iyun","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rotimi Opeyemi","family":"Aderibigbe","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, University College Hospital Ibadan, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ifeanyichukwu Chinedum","family":"Ugwu","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, University College Hospital Ibadan, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odunayo Moronfoluwa","family":"Oluwatosin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, 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