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  • Title: Pediatric free tissue transfer: an evaluation of 99 cases.
    Author: Clarke HM, Upton J, Zuker RM, Manktelow RT.
    Journal: Can J Surg; 1993 Dec; 36(6):525-8. PubMed ID: 8258132.
    Abstract:
    OBJECTIVE: To evaluate the results of free tissue transfers in children who undergo reconstructive surgery. DESIGN: Case series chart review. Mean follow-up longer than 2 years. SETTING: Two tertiary care pediatric hospitals. PATIENTS: Consecutive sample of 99 children. INTERVENTIONS: Free tissue transfers for reconstruction of a variety of defects. MAIN OUTCOME MEASURES: Indications, operations, complications, survival. RESULTS: The most common indications were for restoration of muscle function and for difficulties with soft-tissue coverage. Multiple donor sites were used, with the gracilis muscle, fibula, latissimus dorsi and groin flaps predominating. The overall survival rate was 99.0%. Complications were common, with an overall rate of 59.6%; most were graded as minor or moderate. CONCLUSIONS: Meticulous planning is paramount in achieving a successful outcome. Complications are common but do not include vascular spasm. Free tissue transfers can be successfully completed in small children despite the dimensions of the tissues.
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