Intentional Deformation and Closure of Soft Tissue Defect in Open Tibial Fractures With a Taylor Spatial Frame—A Simple Technique

2013 ◽  
Vol 27 (8) ◽  
pp. 451-456 ◽  
Author(s):  
Om Lahoti ◽  
Iain Findlay ◽  
Sandesh Shetty ◽  
Naveen Abhishetty
Keyword(s):  
Soft Tissue ◽  
Simple Technique ◽  
Soft Tissue Defect ◽  
Tibial Fractures ◽  
Taylor Spatial Frame ◽  
Open Tibial Fractures ◽  
Tissue Defect ◽  
Spatial Frame

Heterodigital Free Flap of Index Finger Amputee for Coverage of the Long Finger Soft Tissue Defect

2013 ◽  
Vol 22 (2) ◽  
pp. 82-85 ◽  
Author(s):  
So-Min Hwang ◽  
Jang Hyuk Kim ◽  
Hong-Il Kim ◽  
Yong-Hui Jung ◽  
Hyung-Do Kim
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Index Finger ◽  
Soft Tissue Defect ◽  
Tissue Defect

Free hemiback flap with surgical delay for reconstruction of extensive soft tissue defect: A case report

Microsurgery ◽  
2012 ◽  
Vol 33 (2) ◽  
pp. 152-155 ◽  
Author(s):  
Masao Fujiwara ◽  
Takeshi Nagata ◽  
Yuki Matsushita ◽  
Hidekazu Fukamizu
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Defect ◽  
Surgical Delay ◽  
Tissue Defect

scholarly journals Laparoscopically Harvested Omental Free Flap to Cover a Large Soft Tissue Defect

1993 ◽  
Vol 217 (5) ◽  
pp. 542-547 ◽  
Author(s):  
Renato Saltz ◽  
Robert Stowers ◽  
Michael Smith ◽  
Thomas R. Gadacz
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Soft Tissue Defect ◽  
Tissue Defect

scholarly journals Results of Microvascular Free Flap for Reconstruction of Soft Tissue Defects: Our Early Experience

2014 ◽  
Vol 3 (2) ◽  
pp. 33-37
Author(s):  
Debashis Biswas ◽  
Md Abul Kalam ◽  
Tanveer Ahmed ◽  
Md Rabiul Karim Khan
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Free Flaps ◽  
Soft Tissue Defect ◽  
Soft Tissue Defects ◽  
Tissue Defect ◽  
Radial Forearm ◽  
After Cancer ◽  
Microvascular Free Flap ◽  
Tissue Defects

Extensive soft tissue defects following trauma, burn or after cancer surgery need coverage by flaps. Sometimes surrounding tissues are not healthy enough or quantity is not favorable to provide adequate pedicle flaps. Microvascular free flap can provide healthy tissue of adequate amount from distant area for those difficult situations.15 microvascular free flaps were performed from October 2011 to February 2013. Radial forearm free flap was done in 8 and Latissimusdorsi (LD) flap in 7 cases. 10 flaps done in foot, ankle & lower leg region (radial forearm-5, LD-5) and 5 flaps were done in face and scalp region (radial forearm-4, LD-1).12 flaps healed uneventfully with good coverage of the defect. Average ischemia time was 135 min (range 100-240 min) and average anastomosis time was 75 min (average 60-100 min). 2 flaps failed. There was necrosis of the tip of 2 LD and cumbersome swelling of the flap was found in 2 cases of LD flaps.Large soft tissue defect of body where local or regional flaps are not feasible; can be easily covered with free flaps. Its capacity to cover huge soft tissue defect has neutralizes its technical demand. Though complications are still high in our hands; can be reduced performing more number of cases. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18242 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 33-37

scholarly journals Soft tissue management of children's open tibial fractures – a review of seventy children over twenty years

2010 ◽  
Vol 92 (4) ◽  
pp. 320-325 ◽  
Author(s):  
P Rao ◽  
MV Schaverien ◽  
KJ Stewart
Keyword(s):  
Soft Tissue ◽  
Tibial Fractures ◽  
Soft Tissue Management ◽  
Retrospective Case ◽  
Open Tibial Fractures ◽  
Fractures In Children ◽  
Superficial Wound ◽  
Patient Stay ◽  
Grade Ii ◽  
Distally Based

INTRODUCTION The management of open tibial fractures in children represents a unique reconstructive challenge. The aim of the study was to evaluate the management of paediatric open tibial fractures with particular regard to soft tissue management. PATIENTS AND METHODS A retrospective case-note analysis was performed for all children presenting with an open tibial fracture at a single institution over a 20-year period for 1985 to 2005. RESULTS Seventy children were reviewed of whom 41 were males and 29 females. Overall, 91% (n = 64) of children suffered their injury as a result of a vehicle-related injury. The severity of the fracture with respect to the Gustilo classification was: Grade I, 42% (n = 29); Grade II, 24% (n = 17); Grade III, 34% (n = 24; 7 Grade 3a, 16 Grade 3b, 1 Grade 3c). The majority of children were treated with external fixation and conservative measures, with a mean hospital in-patient stay of 13.3 days. Soft tissue cover was provided by plastic surgeons in 31% of all cases. Four cases of superficial wound infection occurred (6%), one case of osteomyelitis and one case of flap failure. The limb salvage was greater than 98%. CONCLUSIONS In this series, complications were associated with delayed involvement of plastic surgeons. Retrospective analysis has shown a decreased incidence of open tibial fractures which is reported in similar studies. Gustilo grade was found to correlate with length of hospital admission and plastic surgery intervention. We advocate, when feasible, the use of local fas-ciocutaneous flaps (such as distally based fasciocutaneous and adipofascial flaps), which showed a low complication rate in children.

Pedicled superior epigastric perforator flap for reconstruction of a soft tissue defect at the ventral thoracic wall

2007 ◽  
Vol 30 (3) ◽  
pp. 141-146 ◽  
Author(s):  
S. Deiler ◽  
R. Zulkowski ◽  
O. Muensterer ◽  
J. Widmann ◽  
K. G. Kanz ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Perforator Flap ◽  
Soft Tissue Defect ◽  
Thoracic Wall ◽  
Tissue Defect
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