Treatment of large circular soft tissue defect in lower extremities with a combination of bridge flaps and free skin graft covered by vacuum sealing drainage

To explore the surgical technique and clinical value of treatment for posttraumatic large circular soft tissue defect in the lower extremities using a combination of posterior tibial vascular bridge flap in the unaffected leg and skin graft covered by vacuum sealing drainage (VSD). From January 2008...

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Bibliographic Details
Published inChung-hua wai kʿo tsa chih Vol. 50; no. 1; p. 39
Main Authors Ren, Gao-hong, Li, Jian-wei, Li, Run-guang, Wang, Gang, Yu, Bin
Format Journal Article
LanguageChinese
Published China 01.01.2012
Subjects
Adolescent
Adult
Female
Humans
Lower Extremity - injuries
Male
Middle Aged
Negative-Pressure Wound Therapy
Skin Transplantation
Soft Tissue Injuries - surgery
Surgical Flaps
Treatment Outcome
Young Adult
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Summary:To explore the surgical technique and clinical value of treatment for posttraumatic large circular soft tissue defect in the lower extremities using a combination of posterior tibial vascular bridge flap in the unaffected leg and skin graft covered by vacuum sealing drainage (VSD). From January 2008 to June 2010, 11 cases with posttraumatic large circular soft tissue defects with deep tissue exposed or partial necrosis in the lower extremities were treated by bridge flaps and combined with free skin graft covered by VSD. There are 7 males and 4 females, with an average age of 32.5 years (range from 15 to 52 years). The size of wound varied from 24 cm × 13 cm to 45 cm × 24 cm. After the wound were completely debrided, the external fixation or internal fixation was conducted for the patients with unstable fracture. Then VSD were used to covered the wound for 1-2 times with a period of 5 to 7 days according to the wound condition. After granulation tissue grew, bridge flap transplantation was performed to repair
ISSN:0529-5815