Early Microvascular Reconstruction of Gustilo Type III-C Lower Extremity Wound: Case Report
| Autor: | Maher M. Hussein, Bishara S. Atiyeh, Riyad R. Fakih, Ahmad Tayim, Ahmad M. Zaatari |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Microsurgery medicine.medical_specialty business.industry Vascular disease medicine.medical_treatment Arteriovenous fistula General Medicine Bone healing Free flap Bone grafting medicine.disease Surgical Flaps Surgery body regions Plastic surgery Amputation Humans Medicine Wounds Gunshot business Leg Injuries |
| Zdroj: | Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. 31:351-355 |
| ISSN: | 0284-4311 |
| Popis: | Current algorithms for lower limb injuries recommend amputation for most Gustilo type III-C injuries with a limb salvage index score of 6–8 or more. Recent improvements in the timing and technique of microvascular flaps with the reduction in bone healing time as a result of better fixation devices and early bone grafting make the option of limb salvage after such severe injuries a valid and acceptable therapeutic approach. We present a case of severe shot gun injury to the leg with a limb salvage index score of 9 that was successfully salvaged by vascular reconstruction followed three days later with a microvascular osteocutaneous scapular flap anastomosed to the divided limbs of a preliminary arterio-venous fistule that had been constructed at the time of the initial vascular repair. The patient was able to walk unaided one year after the injury. |
| Databáze: | OpenAIRE |
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