Utilizing Multiple Pedicled Muscle Flaps in Complex Soft Tissue Reconstruction - A Case Report

M. Elsakka, N. Louri, M. M. Abdelhamid
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Abstract

Utilizing multiple muscle flaps is a safe and reliable technique to provide stable soft tissue cover for major post-traumatic defects of the lower limbs. A fifty-five-year-old female patient presented to the emergency department with a huge crush/degloving injury of the whole anteromedial aspect of the right lower limb with open comminuted fracture of the femur, the tibia, and the fibula. Radiological computerized tomography (CT) study showed displaced comminuted fractures involving the lower shaft of the femur, proximal fibula, and middle third of the shaft of the tibia, with tangential bone loss in the knee joint. The patient underwent multiple sessions of wound and bone debridement with bone fixation which was followed by multiple reconstructive surgeries. Patient recovered well and was discharged home with the ability to mobilize with Zimmer frame and knee brace support. Keywords: Comminuted fractures, Degloving injuries, Muscles, Reconstructive surgical Procedures, Surgical flap
应用多带蒂肌皮瓣进行复杂软组织重建1例
多肌瓣修复是一种安全可靠的修复下肢创伤后软组织缺损的方法。一位55岁的女性患者因右下肢整个前内侧严重挤压/脱手套损伤,并伴有股骨、胫骨和腓骨开放性粉碎性骨折而就诊于急诊科。放射学计算机断层扫描(CT)研究显示移位的粉碎性骨折累及股骨下部、腓骨近端和胫骨中部三分之一,并伴有膝关节切向骨丢失。患者接受了多次伤口和骨清创和骨固定,随后进行了多次重建手术。患者恢复良好,出院时在Zimmer框架和膝关节支架的支持下活动自如。关键词:粉碎性骨折,脱手套损伤,肌肉,重建手术,外科皮瓣
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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