Publications by authors named "Brian Cripe"
Osteocutaneous Radial Forearm Flap: Harvest Technique and Prophylactic Volar Locked Plating.
Plast Reconstr Surg Glob Open
November 2023
Background: The osteocutaneous radial forearm (OCRF) flap is a variation of the traditional radial forearm flap with incorporation of an anterolateral segment of corticocancellous bone of the radius, periosteum, and overlying skin. The OCRF flap is indicated in traumatic injuries or extirpation defects with segmental bone loss and is well suited to foot and ankle reconstruction due to its thin pliable skin.
Methods: In this single-center case series, a retrospective review was conducted to identify patients who underwent OCRF free flap for foot and ankle reconstruction that required harvest of more than 50% of the cross-sectional area of the radius with prophylactic volar locked plating of the donor site.
Article Synopsis
- Digital amputation is commonly performed for infections and necrosis in high-risk patients, but there's limited data on its long-term outcomes and survivability.
- In a study analyzing 484 digital amputations over ten years, those performed due to infection or necrosis had a significantly higher revision rate (34%) and mortality risk compared to trauma-related amputations.
- The findings highlight that patients with additional health issues like diabetes or PVD face even greater risks, with 2, 5, and 10-year survival rates significantly lower than the general population.
Background: Diabetic patients should receive self-management education to improve self-care and quality of life but are frequently unable to attend such programs because of the time commitment. We instituted an intensive 2-hour Diabetes Boot Camp to provide this education in a condensed time frame. The objective was to determine the long-term effect of the boot camp on mean hemoglobin A1c (HgA1c) levels in patients with diabetes compared to diabetic patients receiving the standard of care.
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