When soft tissue coverage requires a reconstructive flap, can it be performed at the time of explant or should it be deferred until reimplantation?

Authors: David Backstein, Maik Stiehler, Adam Katchy, Jennifer Leighton

RECOMMENDATION: When a soft tissue defect requires a reconstructive flap, it is safe to perform fl ap coverage at the time of explant or at the time of reimplantation. Early flap coverage at the time of explantation improves soft tissue biology for eradication of infection and allows for earlier mobilization following reimplantation given greater flap maturity.

LEVEL OF EVIDENCE: Consensus

DELEGATE VOTE: Agree: 95%, Disagree: 2%, Abstain: 3% (Unanimous, Strongest Consensus)