Reconstruction of the soft tissue deffect of lower extremity in complicated case
Journal of the Korean Society of Plastic and Reconstructive Surgeons
; : 686-696, 1998.
Article
Dans Ko
| WPRIM
| ID: wpr-183922
Responsable en Bibliothèque :
WPRO
ABSTRACT
This study includes 19 cases of complicated low extremity injury to whom underwent microvascular free-tissue transfer in cases of open comminuted fracture, osteomyelitis, and vascular compromise or extensive soft tissue defect from Nov. 1994 to July 1997. The average time after injury to coverage was 25 days. The nineteen patients underwent a total of nineteen free tissue transfers primarily, and eighteen (94.7 per cent) of the transfers survived. Major complications were encountered recurrent failure of the free tissue transfer in one patient and partial necrosis in the other flap, which were successfully treated by flow-through radial forearm free flap and distally based superficial sural artery flap respectively. Two patients were sustained below knee amputation, one above knee amputation, despite of survival of flaps. This reveals limb salvage in 84 percent. The microvascular reconstruction is a versatile and reliable methods in complicated cases after severe trauma. Free tissue transplantation should be considered as a primary treatment in such complicated cases.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Ostéomyélite
/
Artères
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Transplantation de tissu
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Fractures comminutives
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Transplants
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Sauvetage de membre
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Membre inférieur
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Membres
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Lambeaux tissulaires libres
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Avant-bras
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Année:
1998
Type:
Article