Early Free Tissue Transfer for Extremity Reconstruction Following High-Voltage Electrical Burn Injuries
Bibliographic record
Abstract
We compared the effectiveness of free tissue transfer in repairing high-voltage electrical extremity injuries with conventional multistage procedures. Patients were matched for age, sex, level of injury, voltage, and burn surface area; results were compared using the paired Student T test. Free tissue transfer was performed a mean of 19.1 +/- 10.6 days after the injury occurred, and definitive wound closure and limb salvage were achieved in 87.5% of patients after a mean of 23.0 +/- 9.1 days after the injury. The overall flap survival rate was 80% (13 of 15 flaps). Three flaps failed, two of which were lower-limb flaps at the knee level used for patients with injuries to both upper and lower limbs. Both patients required upper and lower proximal ipsilateral limb amputations. One upper-extremity flap failed after pedicle avulsion 4 days after surgery, but a second free tissue transfer was successful in salvaging this limb 4 days later. The number of surgeries, time required to achieve wound closure, and length of hospitalization were all statistically significantly lower in the free flap group compared with those in the conventional treatment group.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".