The aim of the present study was to determine the outcome for @entity1 treated with flap reconstruction following deep @entity1171 with exposed hardware. Out of 3041 consecutive @entity1171 operations in 3030 @entity1 from 2006 to 2011, we identified 56 @entity1 requiring flap reconstruction following deep @entity281 . Thirty-two of these @entity1 could be examined at a follow-up visit. Olerud-Molander Ankle (OMA) score, 15D score, Numeric Rating Scale (NRS), and clinical examination were used to assess the outcome. A total of 58 flap reconstructions were performed in 56 @entity1 with a mean age of 57 years (range 25-93 years) and mean follow-up time of 52 months. The most commonly used reconstruction was a distally based peroneus brevis muscle flap with a split-thickness skin graft. A microvascular free flap was required in only one @entity1 . 22 (39%) @entity1 required subsequent surgical interventions because of a flap-related complication. With flap reconstruction, hardware could eventually be salvaged in 53% of @entity1 with a non-consolidated @entity174 . The mean OMA score was fair or poor in 53% of the @entity1 , and only 56% had recovered their pre-injury level of function. Half of the @entity1 had shoe wear limitations. The 15D score showed a significantly poorer health-related quality of life compared to an age-standardised sample of the general population. The mean @entity158 NRS was 2.1 (range 0-6), and the mean satisfaction NRS was 6.6 (range 0-10). Our study showed that successful treatment of a soft-tissue defect with exposed hardware following ankle @entity174 can be achieved with local flaps. Despite eventual reconstructive success, complications are common. @entity1 perceive a poorer health-related quality of life, have shoe wear limitations, and only half of them achieve their pre-injury level of function.

Flap reconstruction for soft-tissue defects with exposed hardware following deep @entity281 after internal fixation of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture', 'fracture infections'] @entity1171 :: ('MESH:D064386', 'Disease') :: ['ankle fracture', 'ankle fracture infection'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity1171 :: (MESH:D064386,Disease) :: ['ankle fractures']
