| Title | Vascularized composite tissue transfers or open fractures with massive soft-tissue defects in the lower extremities. | | Author(s) | Yajima H, Tamai S, Kobata Y, Murata K, Fukui A, Takakura Y | | Institution | Department of Orthopaedic Surgery, Nara Medical University, Japan. | | Source | Microsurgery 2002; 22(3):114-21. | | MeSH | Adolescent
Adult
Aged
Aged, 80 and over
Bone Transplantation
Female
Fibula
Follow-Up Studies
Fracture Fixation
Fracture Healing
Fractures, Open
Graft Survival
Humans
Injury Severity Score
Leg
Male
Microsurgery
Middle Aged
Recovery of Function
Retrospective Studies
Skin Transplantation
Soft Tissue Injuries
Surgical Flaps
Tibial Fractures
Treatment Outcome
| | Abstract | From 1982 to 1998, we treated 39 patients with type IIIB and IIIC fractures in the lower extremities by vascularized composite tissue transfers. Thirty-four of the lesions affected the lower leg, and 5 the foot and ankle. The peroneal flap was used in 25 cases, the latissimus dorsi musculocutaneous flap in 12, the scapula flap in 1, and the gracilis muscle flap in 1. In cases with a peroneal flap transfer, 18 cases used osteocutaneous flap with a fibula. Postoperative circulatory disturbances resulted in revision surgery in 9 patients. Eventually, grafting was successful in 37 patients. In patients with a lower leg reconstruction, additional bone grafting was performed in 7 of 16 patients with cutaneous or musculocutaneous flap transfers. No patient with osteocutaneous flap transfers required an additional bone grafting. The mean periods between injury and time to bone union were 11.7 months in patients with cutaneous flap transfers, and 7.5 months in patients with osteocutaneous flap transfers. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 11992498 |
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