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In this study we retrospectively analyzed four patients, affected by exposure of internal hardware and treated with a sural fasciomusculocutaneous flap (Table 1).
We believe that the sural fasciomusculocutaneous flap is a valuable reconstructive option for wounds of the lower leg and the distal third of the foot with exposure of internal hardware, although larger case series are necessary to precisely define the indications and limits of this versatile reconstructive choice.
Soft tissue reconstruction of the distal third of the lower limb with exposure of the internal hardware is a challenging problem with several potential complications, such as exposure of the fracture line, fracture instability and bacterial contamination.
These observations indicate that the differing results could be related to the organisms investigated, the time of exposure, hardware, experimental parameters, and set-up.
Surgical management is also complicated by altered native anatomy from prior exposures, as well as previous placement of hardware [50].
Complications occurring in the postoperative period were accurately recorded (e.g., re-exposure of the internal hardware, suture dehiscence, and evidence of local infection).
These modifications have the disadvantages of limitations of hardware availability and cost as well as longer surgical exposure to accommodate the plates.
What kind of hardware?
So would its network of hardware suppliers.
The amount of hardware was also distracting.
Prices of hardware and software declined under this competitive pressure.
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