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The use of free flaps in the treatment of severe lower leg trauma

✍ Scribed by W. Boeckx; P. H. Blondeel; D. Raemdonck; P. Broos; P. Rommens

Publisher
Springer
Year
1992
Tongue
English
Weight
550 KB
Volume
15
Category
Article
ISSN
1435-0130

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✦ Synopsis

In a period of 51/2 years, the use of 43 free flaps in the treatment of severe lower leg trauma was reviewed. The majority of the patients had severe tibial fractures with extensive soft tissue loss and severe contamination. One flap failed in the early group, 3 in the delayed group. There were no flap failures in the late group. The postoperative infection rate was the highest in the subacute group. Hospital stay and bony healing time were directly related to the timing of free flap surgery. Referral difficulties causing delay in free flap surgery, timing of free flap surgery, donor vessel quality and patient follow-up are discussed.

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