Abstract：
UNASSIGNED: Free flap reconstruction has become the more common treatment over pedicled groin flaps for reconstruction of upper extremity injuries in recent years. Groin flaps are still used for a variety of reasons, though limited literature is available to guide surgeons and patients regarding outcomes. This study aimed to investigate the epidemiology and outcomes of pedicled groin flaps for upper extremity pathology.
UNASSIGNED: The study was a single-institution retrospective case series at a level one trauma center including patients who underwent pedicled groin flaps for upper extremity soft tissue coverage between 1992 and 2022. The data collected included patient and injury characteristics, surgical management, and complication data. Ordinal logistic regression, univariate analysis, and bivariate analysis were performed to assess the relationship between the total number of groin flap surgeries and complications with patient and injury characteristics.
UNASSIGNED: The analysis included 88 pedicled groin flaps performed for upper extremity injuries, with a median follow-up of 1.14 years after injury. Patients had a median age of 35 (interquartile range [IQR]: 22-49) years and underwent a median of 4 (IQR: 3-5.25) surgeries with stiffness (90.6%), partial flap loss (38%), and infection (32%) as the most common complications. High-energy injuries increased the risk of requiring more surgeries based on ordinal logistic regression. Univariate and bivariate analysis revealed no significant difference in wound complications based on patient or injury characteristics.
UNASSIGNED: Patients undergoing pedicled groin flaps for upper extremity injuries can expect to undergo an average of 4 surgeries, and high-energy injuries predict the need for more surgeries.
UNASSIGNED: The study was a single-institution retrospective case series at a level one trauma center including patients who underwent pedicled groin flaps for upper extremity soft tissue coverage between 1992 and 2022. The data collected included patient and injury characteristics, surgical management, and complication data. Ordinal logistic regression, univariate analysis, and bivariate analysis were performed to assess the relationship between the total number of groin flap surgeries and complications with patient and injury characteristics.
UNASSIGNED: The analysis included 88 pedicled groin flaps performed for upper extremity injuries, with a median follow-up of 1.14 years after injury. Patients had a median age of 35 (interquartile range [IQR]: 22-49) years and underwent a median of 4 (IQR: 3-5.25) surgeries with stiffness (90.6%), partial flap loss (38%), and infection (32%) as the most common complications. High-energy injuries increased the risk of requiring more surgeries based on ordinal logistic regression. Univariate and bivariate analysis revealed no significant difference in wound complications based on patient or injury characteristics.
UNASSIGNED: Patients undergoing pedicled groin flaps for upper extremity injuries can expect to undergo an average of 4 surgeries, and high-energy injuries predict the need for more surgeries.
摘要：
■近年来，游离皮瓣重建已成为上肢损伤重建中比较常见的治疗方法。由于各种原因，腹股沟襟翼仍然被使用，尽管有限的文献可用于指导外科医生和患者的结局。本研究旨在调查上肢病理带蒂腹股沟皮瓣的流行病学和预后。
■该研究是一级创伤中心的单机构回顾性病例系列，包括1992年至2022年期间接受上肢软组织覆盖带蒂腹股沟皮瓣的患者。收集的数据包括患者和受伤特征，手术管理,和并发症数据。序数逻辑回归，单变量分析，并进行双变量分析，以评估腹股沟皮瓣手术总数和并发症与患者和损伤特征之间的关系。
■分析包括88个上肢损伤带蒂腹股沟皮瓣，受伤后的中位随访时间为1.14年。患者年龄中位数为35岁（四分位距[IQR]：22-49岁），接受中位数为4（IQR：3-5.25）的僵硬手术（90.6%），部分皮瓣损失（38%），和感染（32%）是最常见的并发症。根据有序逻辑回归，高能损伤增加了需要更多手术的风险。单变量和双变量分析显示，基于患者或损伤特征的伤口并发症没有显着差异。
接受上肢损伤的腹股沟带蒂皮瓣的患者平均可以接受4次手术，高能损伤预测需要更多的手术。
■该研究是一级创伤中心的单机构回顾性病例系列，包括1992年至2022年期间接受上肢软组织覆盖带蒂腹股沟皮瓣的患者。收集的数据包括患者和受伤特征，手术管理,和并发症数据。序数逻辑回归，单变量分析，并进行双变量分析，以评估腹股沟皮瓣手术总数和并发症与患者和损伤特征之间的关系。
■分析包括88个上肢损伤带蒂腹股沟皮瓣，受伤后的中位随访时间为1.14年。患者年龄中位数为35岁（四分位距[IQR]：22-49岁），接受中位数为4（IQR：3-5.25）的僵硬手术（90.6%），部分皮瓣损失（38%），和感染（32%）是最常见的并发症。根据有序逻辑回归，高能损伤增加了需要更多手术的风险。单变量和双变量分析显示，基于患者或损伤特征的伤口并发症没有显着差异。
接受上肢损伤的腹股沟带蒂皮瓣的患者平均可以接受4次手术，高能损伤预测需要更多的手术。
