Combined pedicled flaps for grade IIIB tibial fractures in children: a report of two patients.

Abstract:

:Severe open tibial fractures in children are associated with notable morbidity and require early aggressive management to ensure a successful outcome. Free flaps are currently the gold standard in distal extremity reconstruction in which large soft-tissue defects exist, as is often the case with grade IIIB fractures. In severe lower limb trauma, however, free flaps are associated with a relatively high risk of failure, particularly when definitive soft-tissue coverage is delayed. Alternative methods of soft-tissue reconstruction may, therefore, occasionally require consideration. The authors describe the combined use of three pedicled flaps to attain soft-tissue coverage in 2 children with grade IIIB tibial fractures. These three flaps are individually in common use for lower limb soft-tissue coverage, are simple to raise, and in combination can cover extensive soft-tissue defects of the lower extremity. The major vascular axes of the limb are not sacrificed; however, the aesthetic result is modest.

journal_name

Ann Plast Surg

authors

Skoll PJ,Hudson DA

doi

10.1097/00000637-200044040-00012

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

422-5

issue

4

eissn

0148-7043

issn

1536-3708

journal_volume

44

pub_type

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