دورية أكاديمية

Free-flap reconstruction of traumatic lower extremity wounds.

التفاصيل البيبلوغرافية
العنوان: Free-flap reconstruction of traumatic lower extremity wounds.
المؤلفون: Hammert WC; Department of Plastic Surgery, The Cleveland Clinic Foundation, Ohio, USA., Minarchek J, Trzeciak MA
المصدر: American journal of orthopedics (Belle Mead, N.J.) [Am J Orthop (Belle Mead NJ)] 2000 Sep; Vol. 29 (9 Suppl), pp. 22-6.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontline Medical Communications Country of Publication: United States NLM ID: 9502918 Publication Model: Print Cited Medium: Print ISSN: 1078-4519 (Print) Linking ISSN: 10784519 NLM ISO Abbreviation: Am J Orthop (Belle Mead NJ) Subsets: MEDLINE
أسماء مطبوعة: Publication: <1997-2018> : Parsippany, NJ : Frontline Medical Communications
Original Publication: Belle Meade, N.J. : Excerpta Medica, Inc., c1994-
مواضيع طبية MeSH: Surgical Flaps*, Leg Injuries/*surgery , Tibial Fractures/*surgery, Accidental Falls ; Accidents, Traffic ; Adolescent ; Adult ; Aged ; Ankle Injuries/rehabilitation ; Ankle Injuries/surgery ; Debridement ; Female ; Foot Injuries/rehabilitation ; Foot Injuries/surgery ; Humans ; Leg Injuries/rehabilitation ; Male ; Middle Aged ; Postoperative Care ; Surveys and Questionnaires ; Tibial Fractures/rehabilitation ; Time Factors
مستخلص: A retrospective review of 20 free-tissue transfers for reconstruction of traumatic lower extremity wounds was undertaken. The wounds consisted of Gustilo type IIIb injuries resulting from motor vehicle accidents, falls, motorcycle and four-wheel, all-terrain vehicle accidents, and a laceration from a lawnmower blade. Fifty percent of the procedures were for open tibia fractures. The most common flap used was the rectus abdominis, followed by the latissimus dorsi, serratus anterior, and radial forearm. There were two major complications resulting in flap loss. Adequate and multiple debridements, selection of the appropriate flap, meticulous surgical technique, and postoperative care continue to be the essentials of free-flap coverage. With a motivated patient, limb salvage and return to function can be achieved after most high-energy injuries.
تواريخ الأحداث: Date Created: 20000930 Date Completed: 20010117 Latest Revision: 20151119
رمز التحديث: 20221213
PMID: 11011776
قاعدة البيانات: MEDLINE