Reconstruction of Lower One-third Leg Soft Tissue Defects
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 7
Abstract
Introduction: Major limb injuries involve many or all components of the limb architecture, namely, skin and soft tissue, osseous, vascular, and neural elements which makes for prompt and precise evaluation and management for optimizing functional outcome. Aim: The aim of this is to evaluate various reconstructive options for the management of lower one-third leg soft tissue defect. Methods: All patients with post-traumatic soft tissue defects of the lower one-third leg who required a soft tissue cover were included in the study. Detailed history was taken on the mechanism of injury, the time since injury and history of neurological deficits. Then, all the patients were subjected to a full general and local clinical examination to rule out other coexisting injuries and to assess the site and size of the defect, the presence or absence of exposed bone, tendons or neurovascular structures, the degree of wound contamination, and the condition of surrounding skin. Results: The indication for flap cover was exposed tibia (71%), followed by exposed tendon 21% and exposed implant 8%. The most commonly performed procedure is the inferiorly based fasciocutaneous flaps (45%) followed by reverse fasciocutaneous flaps (32%). Edema and infection were the common complications encountered 23 and 18%, respectively. 70% of patients graded the reconstruction as good, 23% as fair, and 7% as poor. Conclusion: Fasciocutaneous flaps may represent a good alternative to the free flaps in the areas were other local reconstructive procedures are not possible.
Authors and Affiliations
P Suresh Kumar, E R Srinivas, Heber Anandan
Keywords
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