Abstract

Orthoplastic Surgery & Orthopedic Care International Journal

Soft Tissue Coverage in Complex Fractures of the Lower Limbs

  • Open or Close Carmen Iglesias*

    Plastic Surgery Department, University Hospital La Paz Plastic Surgery Service, Spain

    *Corresponding author: Carmen Iglesias, Plastic Surgery Department, University Hospital La Paz Plastic Surgery Service, Spain

Submission: September 06, 2017; Published: December 18, 2017

DOI: 10.31031/OOIJ.2017.01.000508

ISSN: 2578-0069
Volume1 Issue2

Abstract

Complex fractures of the limbs are a clinical challenge for the multidisciplinary team that needs to treat them. The current advances in soft-tissue flap reconstruction techniques have significantly improved the results of the limb salvage attempts. Understanding the reconstructive concepts of zone of injury, aggressive debridement, timing and the possibilities of flap coverage are essentials to complete limb salvage in a timely and appropriate fashion. Complex extremity injury requires immediate and specialized attention via an interdisciplinary approach. The steps in surgical management include radical tissue debridement, adequate stabilization and reconstruction of viable structures by the use of autologous blood vessels or nerve grafts, and the bone and soft tissue reconstructions with a “custom-fit” flap. Generally all of them must be done in a unique surgery. These are the most powerful tools for infection control and to get the best results.

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