[Repair of complex wounds of the lower limb].
The prognosis of complex open fractures of the lower limbs has radically been altered by recent advances in plastic surgery. Numerous reliable flaps are now available, including muscular, musculo-cutaneous, fascio-cutaneous and septo-cutaneous flaps with a proximal or distal pedicle, and free cutaneous, osseous, osteo-cutaneous etc. microsurgical transfers. Whether homo- or hetero-lateral, these flaps provide an efficient treatment in almost every case. Microsurgery is usually the best method for effective covering of losses of substance that are extensive and/or located in the middle or distal third of the limb. In emergency surgery as well as in surgery of sequelae, the therapeutic indications must be thoroughly discussed.
Revol
M
M
Service de Chirurgie Plastique Reconstructive et Esthétique, Hôpital Saint Louis, Paris.
D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008866:Microsurgery / Q000379:methods; D013524:Surgical Flaps; D014945:Wound Healing
La réparation des plaies complexes du membre inférieur.