Microsurgical repair of external fixation and vascular damage associated with severe lower limb fracture.doc

 PAGE \* MERGEFORMAT 14 Microsurgical repair of external fixation and vascular damage associated with severe lower limb fracture Study: Cao Lei Xiang Liu Zhiwang Liu Huiren Li Ruiguo Wang Guoqiang Li Guohua Power Source [Abstract] Objective To explore with severe lower extremity vascular injury open fracture with external fixation and microsurgical repair of the treatment effect. Methods 26 cases with severe lower limb vascular injuries open fractures were retrospectively reviewed the clinical data. Results 26 patients were followed up 25 cases for 6 to 36 months. after 2 patients had arteriovenous crisis, 1 patient with skin necrosis line adjustment of external fixation, wound fresh underwent free skin grafting, and 3 cases of bone defect In the wound healing phase line fibular fracture healed, 5 cases of soft tissue necrosis, secondary to osteomyelitis defects occur, the line of free anterolateral thigh flap healed after transplantation, and no recurrence of osteomyelitis. Fracture Healing for 6 to 10 months, the average time was 8.9 months, all the normal limb blood flow, vascular smooth sound, all flaps survived, texture and color is good. satisfactory recovery of joint function, according to HSS knee joint evaluation criteria: good 6 cases (24%, in 17 cases (68%, poor in 2 cases (8%. Conclusions of the lower extremities with vascular injury in open fractures limb threatening the survival of postoperative treatment is the key to quickly build circulation, wound cover and reliable fracture fixation. external fixator application fast, efficient, reliable fix the fracture, combined with microsurgical technique to repair, can significantly improve the efficacy. [Keywords:] vascular injuries of lower limb fracture with external fixation microsurgery Our department from 2001 to 2008, the application of external fixation combined with free anterolateral thigh flap surgery, such as fibular grafting method of treatment of microsurgical vascular injury a