Repair of deep burn and traumatic wounds in lower extremities with combined transplantation of multiple pedicled skin flaps
Author(s): BEN Dao-feng, MA Bing, CHEN Xu-lin, ZHU Shi-hui , TANG Hong-tai , LU Wei, CHENG Da-sheng, XIAO Shi-chu, XIA Zhao-fan
Pages: 6-9
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Burns; Wounds and injuries; Surgical flaps; Reconstructive surgical procedures;
Abstract: Objective To summarize the clinical experience in repair of deep burn and traumatic wounds with combined transplantation of different types of pedicled skin flaps in lower extremities. Meth-ods Two hundred and thirty-six patients with 271 deep wounds in lower extremities after burn or trauma were repaired with muscular skin flaps, local fascial flaps and island flaps with vascular pedicle(more than 20 types) in our department from Jan. 1998 to Sept. 2008. Results Complete necrosis of skin flaps oc-curred in 1 case, congestion and necrosis over the edge of skin flaps occured in 3 cases, which were healed after grafting, and other skin flaps survived well with soft texture. Skin flaps were too bulky in 26 cases, a-mong them 17 cases were thinned, and the appearance of other skin flaps were satisfactory. In 68 patients with functional region injury were recovered to certain extent without contracture. Conclusions Skin flaps with pedicles, multiple transplantations if necessary, can repair deep wounds satisfactorily in lower extremi-ties after deep burn or trauma injury.
Pages: 6-9
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Burns; Wounds and injuries; Surgical flaps; Reconstructive surgical procedures;
Abstract: Objective To summarize the clinical experience in repair of deep burn and traumatic wounds with combined transplantation of different types of pedicled skin flaps in lower extremities. Meth-ods Two hundred and thirty-six patients with 271 deep wounds in lower extremities after burn or trauma were repaired with muscular skin flaps, local fascial flaps and island flaps with vascular pedicle(more than 20 types) in our department from Jan. 1998 to Sept. 2008. Results Complete necrosis of skin flaps oc-curred in 1 case, congestion and necrosis over the edge of skin flaps occured in 3 cases, which were healed after grafting, and other skin flaps survived well with soft texture. Skin flaps were too bulky in 26 cases, a-mong them 17 cases were thinned, and the appearance of other skin flaps were satisfactory. In 68 patients with functional region injury were recovered to certain extent without contracture. Conclusions Skin flaps with pedicles, multiple transplantations if necessary, can repair deep wounds satisfactorily in lower extremi-ties after deep burn or trauma injury.
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