Complex osteocutaneous injuries--timing of reconstruction. A report of 3 cases.
Twenty-seven patients with osseous trauma and soft-tissue loss were subjected to a treatment protocol aimed at obtaining definitive wound coverage within 10 days of injury. Reconstructive procedures included 19 successful microvascular tissue transfers as well as 8 pedicle flaps. The rate of serious complications was 8%, and patient morbidity was significantly reduced compared with a previous regimen of late reconstruction. An outline of the protocol is presented and technical points, which might enhance results, are discussed.
Barnard
C J
CJ
Department of Plastic and Reconstructive Surgery, University of the Orange Free State, Bloemfontein.
Wei
F C
FC
Badenhorst
O A
OA
D000328:Adult; D001842:Bone and Bones / Q000293:injuries; D002648:Child; D018409:Foot Injuries; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D012867:Skin / Q000293:injuries; D013518:Surgery, Plastic; D013997:Time Factors