Posts Tagged ‘five patients’

The treatment of soft-tissue defects of the lower leg after a traumatic open tibial fracture

Abstract  The treatment of large soft-tissue defects of the lower leg remains a challenge. The timing of the operation, the most suitable
type of tissue, and the decision between local or free flap coverage still remains under discussion. Fifty-two patients were
treated with local or free flap coverage after a traumatic soft-tissue defect of the lower leg. We compared the results after
treatment with local versus free flaps and fasciocutaneous flaps versus musculocutaneous flaps. In the case of primary reconstruction,
we also compared the results regarding the timing of the operation: patients treated within 72 h after the trauma versus patients
treated after 72 h. Thirty-five patients (67%) have been treated because of posttraumatic soft-tissue defects and, theref…

Clinical study of the recurrent flaps of the arm for resurfacing of elbow defects

Abstract  Defects around the elbow region are often irregular with exposed nerves, tendons, bones/joint, and implants. Skin grafts,
though possible in some cases, must be avoided, as it requires prolonged splintage and physiotherapy to prevent recurrence
and elbow stiffness. Distant flaps require multiple stages, and free flaps are rarely indicated for elbow defects. Muscle
flaps are bulky. To overcome these problems, distally based fasciocutaneous flaps from medial and lateral sides of the arm
based on posterior ulnar recurrent artery and radial recurrent artery, respectively, were used. Ten patients were studied.
Age of the patients ranged from 10 to 40 years. Five were male, and five were female. Radial and ulnar recurrent flaps were
used in five patients each. The …