scholarly journals Soft Tissue Coverage for Defects around the Knee Joint

2019 ◽  
Vol 52 (01) ◽  
pp. 125-133
Author(s):  
Ravindra Bharathi R. ◽  
Sanjai Ramkumar ◽  
Hari Venkatramani

AbstractSoft tissue injuries around the knee present a challenge for providing a cover when there is loss of tissue. Various flaps comprising of skin and muscles around the joint have been described. Understanding the anatomical basis and the design of these flaps can aid in choosing the right flap for a given situation. A prompt cover of the defects aids in quicker healing and quicker rehabilitation of the patient.

2021 ◽  
Vol 5 (2) ◽  
pp. 879-882
Author(s):  
Fedor Kovalenko ◽  
Pantelis Vassiliu ◽  
Konstantinos Degiannis ◽  
Dietrich Doll

Introduction. Attacks by large animals, which lead to a critical patient condition, have not been systematically and statistically analyzed in the previous literature. Some papers about animal attacks are case reports and address fatal cases. Hippopotamus bite injury is a major trauma associated with complications. Case report. In 2018, an American woman celebrating her 37th birthday in Zimbabwe embarked on a river rafting trip. After the hippopotamus bite, the patient had extensive soft tissue injuries and a comminuted fracture of the right femur. It was undertaken extensive multiple wound debridement and the femur was nailed as the site of entrance of the nail was away from the soft tissue injuries. Conclusion. Usually, hippopotami avoid contact with people. Similar to many wild animals, hippopotami can attack in anticipation of danger, especially when protecting their offspring. In the present case, the inflicted injury is severe and has a combined character.


2018 ◽  
Vol 5 (2) ◽  
pp. 398
Author(s):  
Gurvansh S. Sachdev ◽  
Manu Rajan ◽  
Sanjay Dvivedi ◽  
Saurabh Agrawal ◽  
Kinnari A. V. Rawat

Background: Treatment of lower limb injuries pose a great challenge. Debridement is the key to success in the management of major limb injuries followed by soft-tissue coverage in the form of suturing, skin grafts, or flaps. Our aim is to study the management of various below knee soft tissue injuries.Methods: The study was conducted in the Department of Surgery, Himalayan Institute of Medical Sciences (HIMS), Swami Ram Nagar, Dehradun, over a period of 12 months. Subjects were recruited from patients presenting in Emergency/Surgery OPD, HIMS, Dehradun with a primary diagnosis of below knee soft tissue injuries. A total of 64 patients were included in the study.Results: Primary closure was done in 6 wounds and coverage in rest, with maximum in the form of split skin graft. Abrasion wounds were managed without any surgical intervention. Reconstructive surgery was performed two or more times in 39.06% patients. Local complications were seen in 23.43% of patients and general complications AKI and Tetanus in 2patients.68.75% of patients with local complications were observed to have contaminated wound status at the time of presentation. The average duration of hospital stays ranged between 3 to 56 days. Majority of the patients were discharged within 1 to 3 weeks with mean duration of hospital stay being 17.82±10.95 days.Conclusions: Proper debridement, early coverage of wounds and prompt identification and management of complications is the key to success in the management of lower limb trauma.


1989 ◽  
Vol 8 (1) ◽  
pp. 11-23
Author(s):  
Michael J. White ◽  
Peter C. Johnson ◽  
Frederick R. Heckler

1997 ◽  
Vol 36 (5) ◽  
pp. 867
Author(s):  
Geon Lee ◽  
Chan Heo ◽  
Yong Jo Kim ◽  
Hyeok Po Kwon ◽  
Jung Hyeok Kwon ◽  
...  

2019 ◽  
Vol 17 (1) ◽  
pp. 108-111
Author(s):  
A. A. Makovsky ◽  
◽  
G. V. Fedoruk ◽  
A. P. Stepanchenko ◽  
◽  
...  

2014 ◽  
Author(s):  
Davide Susta ◽  
Dónal P O'Mathúna ◽  
Michael Parkinson

Author(s):  
Davide Susta ◽  
Dónal P O'Mathúna ◽  
Michael Parkinson

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