PR25 SOFT TISSUE COVERAGE IN LOWER LIMB TRAUMA ? ANNUAL AUDIT FROM A TERTIARY RECONSTRUCTIVE SURGERY UNIT IN INDIA

2007 ◽  
Vol 77 (s1) ◽  
pp. A67-A67
Author(s):  
A. Varkey ◽  
V. M. Joseph ◽  
N. Guido ◽  
B. C. Ashok ◽  
V. Sriknath
Keyword(s):  
Soft Tissue ◽  
Reconstructive Surgery ◽  
Lower Limb ◽  
Soft Tissue Coverage ◽  
Limb Trauma ◽  
Lower Limb Trauma

scholarly journals Free Tissue Transfer in Pediatric Lower Limb Trauma

2019 ◽  
Vol 52 (01) ◽  
pp. 037-044 ◽  
Author(s):  
R. Srikanth
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Large Series ◽  
Soft Tissue Coverage ◽  
Wound Coverage ◽  
Tissue Transfer ◽  
Limb Trauma ◽  
Lower Limb Trauma

AbstractFree tissue transfer has become the standard in wound coverage and further refinements have given us newer flap donor sites or modifications of existing flaps to decrease morbidity; smaller vessels are being anastomosed, a direct spin-off following successful distal replantations. Younger children are presenting with traumatic defects similar to adults. Although there were apprehensions of free tissue transfer in children occasioned by smaller vessels, duration of procedure and concerns of growth following flap harvest, reports of small and large series have appeared in the literature with similar success. Pediatric-free tissue transfer is now an established entity. This article seeks to arrive at a consensus based on a review of the existing literature on free flaps for skin and soft-tissue coverage of lower limb trauma in children.

Early soft tissue coverage and negative pressure wound therapy optimises patient outcomes in lower limb trauma

Injury ◽  
2012 ◽  
Vol 43 (6) ◽  
pp. 772-778 ◽  
Author(s):  
David Shi Hao Liu ◽  
Foti Sofiadellis ◽  
Mark Ashton ◽  
Kirstie MacGill ◽  
Angela Webb
Keyword(s):  
Soft Tissue ◽  
Patient Outcomes ◽  
Negative Pressure ◽  
Lower Limb ◽  
Negative Pressure Wound Therapy ◽  
Soft Tissue Coverage ◽  
Wound Therapy ◽  
Limb Trauma ◽  
Lower Limb Trauma

Principles of acute management of lower limb trauma

2021 ◽  
pp. 583-584
Author(s):  
Michael Kelly
Keyword(s):  
United Kingdom ◽  
Soft Tissue ◽  
Lower Limb ◽  
Initial Assessment ◽  
Acute Management ◽  
The United Kingdom ◽  
Limb Trauma ◽  
Principles Of Treatment ◽  
Lower Limb Trauma ◽  
Complex Injuries

The morbidity of lower limb trauma can be significant and a combination of orthopaedic and plastic surgery expertise is required from the initial assessment through to completion of treatment for these complex injuries. Guidelines have been established in the United Kingdom that address assessment, timing of treatment, and the management of soft tissue and skeletal components of injury. This chapter outlines these principles of treatment.

scholarly journals Combined free flap and ilizarov bone reconstruction in complex lower limb trauma: our experience

2018 ◽  
Vol 4 (5) ◽  
pp. 797
Author(s):  
Ravi Mahajan ◽  
Inderdeep Singh ◽  
Avtar Singh ◽  
Mahipal Singh ◽  
Sandeep Kansal
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Early Mobilization ◽  
Ilizarov Method ◽  
Soft Tissue Coverage ◽  
Bone Reconstruction ◽  
Limb Trauma ◽  
Normal Shape ◽  
And Function ◽  
Lower Limb Trauma

<p class="abstract"><strong>Background:</strong> Reconstruction of complex lower limb trauma is a major concern for both plastic and Orthopedic surgeons. The use of free flap with Ilizarov method for soft tissue coverage and bone reconstruction not only gives the patient near normal shape and function but also allows early mobilization of the patient, even during the process of distraction with Ilizarov method.</p><p class="abstract"><strong>Methods:</strong> In this study patients with bone and soft tissue defects of the lower leg were included in the study. Our protocol was immediate wound debridement along with application of external fixator and early free flap coverage within 48-72 hours. After 3-4 weeks of the free flap transfer definitive bone reconstruction is done with Ilizarov method.<strong></strong></p><p class="abstract"><strong>Results:</strong> 122 flaps survived fully and distal flap necrosis occurred in 4 patients. Necrosis of flap occurred before the start of bone reconstruction with Ilizarov and was managed conservatively or with skin graft. Pin tract infection occurred in 45 (35.71%) patients and was treated by pin care and antibiotics. Other complications in treated patients included pain due to distraction (33.33%). delayed union at docking site (11.90%), discrepancy of limb size (9.52%) and union with deformity (6.35%). The functional outcome was satisfactory in majority of the cases.</p><p class="abstract"><strong>Conclusions:</strong> Combined use of free flap and Ilizarov provides a more reliable soft tissue coverage and bone reconstruction with almost near normal shape and function. It has advantages like regenerating same quality bone and allowing the early mobilization of the patient with acceptable rate of complications.</p>

Plastic surgery

2019 ◽  
pp. 733-746
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Plastic Surgery ◽  
Lower Limb ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Paediatric Surgery ◽  
Wide Range ◽  
Limb Trauma ◽  
Lower Limb Trauma

This chapter on ‘plastic surgery’ encompasses the management and reconstruction of a wide range of elective and acute pathologies. Its spectrum includes skin and soft tissue oncology, hand and upper limb, oncoplastic breast, aesthetics, head and neck, burns, lower limb trauma, and paediatric surgery. This broad specialty is structured well for conditions seen commonly in clinic, in the emergency department, and in theatre. It highlights cases to see such as skin cancer, cleft lip and palate, and trauma. It covers burns in appropriate details including causes and immediate management, as well as reconstruction and grafts. This chapter reiterates ABCDE management and is written for both those looking to apply for medicine, and those in medical school.

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