[Circular soft tissue defect after prolonged application of a

Der Unfallchirurg · Nov 2021

Case Reports

[Circular soft tissue defect after prolonged application of a strangulating compression stocking].

Wearing a compression stocking over a longer period of time can lead to deep skin and soft tissue defects. This article presents a case of a circular necrosis with an exposed tendon of the tibialis anterior muscle and the Achilles tendon. ⋯ Due to the short operating and anesthesia times, this flap is a good option for lower leg reconstruction, particularly in multimorbid patients. This case raises awareness of the importance of adequate patient training before commencing compression therapy.

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- Sophia Juliane Mirtschink, Elisabeth Manke, and Wolfgang Schneiders.
- Sektion Plastisch-Rekonstruktive Chirurgie, Elblandzentrum für Orthopädie und Unfallchirurgie, Elblandklinikum Riesa, Weinbergstraße 8, 01589, Riesa, Deutschland. Sophia.Mirtschink@elblandkliniken.de.
- Unfallchirurg. 2021 Nov 1; 124 (11): 945950945-950.
AbstractWearing a compression stocking over a longer period of time can lead to deep skin and soft tissue defects. This article presents a case of a circular necrosis with an exposed tendon of the tibialis anterior muscle and the Achilles tendon. The use of a peroneus brevis muscle flap led to an adequate coverage of the exposed Achilles tendon. Due to the short operating and anesthesia times, this flap is a good option for lower leg reconstruction, particularly in multimorbid patients. This case raises awareness of the importance of adequate patient training before commencing compression therapy.© 2021. The Author(s).

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[Circular soft tissue defect after prolonged application of a strangulating compression stocking].

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