Adjacent flap combined treatment with external fixation combined with soft tissue defects of tibia and fibula fracture.docVIP

 PAGE \* MERGEFORMAT 12 Adjacent flap combined treatment with external fixation combined with soft tissue defects of tibia and fibula fracture Study: A Study of China, Jiang Huafu, Gu Peng first, Li Jun, Wang Yaping, Qiwei Lin, room Xiaobin [Abstract] [Objective] adjacent flap combined with external fixator in the treatment of soft tissue defects of the tibia and fibula combined fractures. [Method] According to the selection of a small soft tissue defects of the situation close to the sural neurovascular flap, saphenous neurocutaneous vascular flap gastrocnemius muscle flap, such as different inside and outside the flap side head wound repair, wound defect area of #8203;#8203;4.5 cm × 3 cm ~ 16 cm × 8 cm, was cut slightly larger than the defect area of #8203;#8203;the flap wound coverage of wound repair, applications and semi-circular arm external fixation of tibial fractures. [Results] 15 patients with clinical applications, including open tibia and fibula fracture with soft tissue defects of old, 9 cases of bone exposure, emergency tibia and fibula open fractures, 3 cases of skin and soft tissue defect, fracture healing of tibia and fibula and paste the bone scar in 3 cases, all survived all good flap, after 12 to 72 months follow-up, an average of 36 months, all patients fractures were healed without infection, lower limb function recovery. [Conclusion] adjacent flap technology combined with external fixation combined treatment of soft tissue defect combined efficient and effective method of tibial and fibular fractures. [Keywords:] flap, external fixation, fracture, tibia, soft tissue defects, the fibula Abstract: [Objective] To discuss the treatment of tibiofibular fracture and soft tissue defects by combination of adjacent tissue flap transplant and external fixation. [Method] Sural neurovascular flaps, saphenous neurocutaneous vascular flaps, gastrocnemius flaps or other tissue flaps were selected to repair soft tissue defects.Among them ther