Reconstruction of skin and soft-tissue defects in crush-injuries of the lower leg in children.
Severe crush injuries with open comminuted fractures of the lower extremity often result in extensive tissue loss. In such a situation early free microsurgical tissue transplantation offers most effective possibilities of treatment. Among others, two of the most eminent advantages of free microsurgical tissue transplantation are: 1. The possibility of tissue replacement which cannot be achieved by traditional procedures such as functional muscle transplantation or the replacement of extremely extensive tissue loss; moreover immediate or early bone coverage by well vascularized soft-tissue is most effective in the prevention of infection. 2. In many cases complete reconstruction can be achieved by a one-stage-procedure: this decreases the morbidity considerably. These advantages are demonstrated by clinical cases, where we used free microsurgical tissue transplantation.
Klinik für Hand-, Plastische- und Wiederherstellungschirurgie, Universitätsspital Zürich.
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U
von Wartburg
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W
Künzi
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M
Meuli
D000673:Amputation, Traumatic / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods; D002648:Child; D016267:External Fixators; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D009132:Muscles / Q000293:injuries; D012867:Skin / Q000293:injuries; D013524:Surgical Flaps; D014182:Transplantation, Autologous