Local-Advancement Soft-Tissue Coverage in a Child with Ipsilateral Grade IIIB Open Tibial and Ankle Fractures
1996; Lippincott Williams & Wilkins; Volume: 10; Issue: 8 Linguagem: Inglês
10.1097/00005131-199611000-00013
ISSN1531-2291
AutoresDavid M. Klein, Daniel A. Caligiuri, Barry M. Katzman,
Tópico(s)Bone fractures and treatments
ResumoThis case describes the successful treatment of a child with a vascular injury and two ipsilateral grade IIIB open lower leg fractures using two local-advancement soft-tissue techniques. Multiple relaxing skin incisions were used for closure of the wound associated with the patient's midshaft tibial fracture, whereas a randomly patterned rotational fasciocutaneous flap was used for coverage of the wound associated with the patient's medial malleolar fracture. These straightforward local-advancement soft-tissue coverage techniques allowed for treatment of a child with vascular injuries, ensuring the viability of the foot, while preventing distant donor site morbidity and functional sacrifice. Additionally, no special microsurgical or specialty training is necessary to achieve a similar result.
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