The Adipo-Fascial ALT Flap in Lower Extremities Reconstruction Gustillo IIIC-B Fractures. An Osteogenic Inducer?

Autor: Mario Cherubino, Martina Corno, Mario Ronga, Giacomo Riva, Pietro G. di Summa, Davide Sallam, Federico Tamborini, Francesca Maggiulli, Michele Surace, Luigi Valdatta
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Investigative Surgery, Vol 34, Iss 6, Pp 638-642 (2021)
Druh dokumentu: article
ISSN: 0894-1939
1521-0553
08941939
03420280
DOI: 10.1080/08941939.2019.1668092
Popis: Background: Purpose of this report is to analyze possible effects and clinical outcomes of anterolateral thigh (ALT)-free fascial flaps on bone healing in Gustilo type IIIB-C open tibial fractures. Methods: We present a technique, wherein the fascia is wrapped around bone stumps, bone chips or not vascularized bone graft were used to fill the defects. Five patients with a mean follow-up of 36 months were treated. Results Mean time from injury to flap coverage was 72 hours. The mean size of bone defects was 4-7,6 cm. All flaps were Antero Lateral Tight flaps, and the fracture sites did not have any evidence of infection. None of the patients was a smoker. A solid bone union was reached, and full wearing was in a mean of 11 (4–20) weeks after the injury. The lower limb was saved in 100% of the cases. Conclusion Despite the goods results, further studies applied on a large number of patients are needed to confirm authors theory, however, we can consider the fascial ALT flap as a valid help for bone healing in 3B-C open tibial fractures.
Databáze: Directory of Open Access Journals
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