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Innovative adaptation of the "spare tissues concept" applied for olecranon coverage of a severe burn patient: A case report.
Lafaye, G; Berthier, C; Chaput, B; Meresse, T; Cheval, M.
Affiliation
  • Lafaye G; Department of Plastic Reconstructive Surgery and Burns, Rangueil University Hospital, Toulouse, France. Electronic address: lafayegregory@orange.fr.
  • Berthier C; Department of Plastic Reconstructive Surgery and Burns, Rangueil University Hospital, Toulouse, France; Department of Onco-Plastic Surgery, IUCT-Oncopole University Hospital, Toulouse, France.
  • Chaput B; Department of Plastic Reconstructive Surgery and Burns, Rangueil University Hospital, Toulouse, France.
  • Meresse T; Department of Plastic Reconstructive Surgery and Burns, Rangueil University Hospital, Toulouse, France; Department of Onco-Plastic Surgery, IUCT-Oncopole University Hospital, Toulouse, France.
  • Cheval M; Department of Maxillo-Facial Surgery, Purpan University Hospital, Toulouse, France.
Ann Chir Plast Esthet ; 66(4): 346-350, 2021 Aug.
Article de En | MEDLINE | ID: mdl-33838956
ABSTRACT

BACKGROUND:

The management of bone exposure in patients with extensive burns could be a challenge due to the lack of healthy tissue. In such cases, it could be interesting to use any still healthy tissue initially destined for amputation and use it to cover up another site. We present the case of a sever burn patient for whom we used the only healthy palmar hand skin to cover an olecranon exposure. CLINICAL CASE DESCRIPTION A 38-year-old man has been admitted in burn victim unit with extensive deep burns on 60% of the total body surface. An exposure of the left olecranon was appeared occurring on a burned area, with absence of healthy local tissues available for coverage. Concomitantly a trans-radial amputation was indicated because of severe digits burns leading to an impossibility to preserve the function of the hand. A palmar skin area was healthy leading to harvested this palmar skin flap pedicled on ulnar vessels. Early post-operative healing was satisfactory and no vascular suffering of the flap has been observed with a total healing at three weeks.

CONCLUSION:

In any patient the spare tissues concept should be keep in mind when amputation is indicated simultaneously with a problematic of loss of substance coverage to a proximity area. In this case of severe burn patient, we used a palmar skin flap pedicled on the ulnar vessels to cover an olecranon exposure.
Sujet(s)
Mots clés

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Brûlures / / Processus olécrânien Limites: Adult / Humans / Male Langue: En Journal: Ann Chir Plast Esthet Année: 2021 Type de document: Article

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Brûlures / / Processus olécrânien Limites: Adult / Humans / Male Langue: En Journal: Ann Chir Plast Esthet Année: 2021 Type de document: Article
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