title: Complex osteocutaneous injuries--timing of reconstruction. A report of 3 cases.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of the Orange Free State, Bloemfontein.
authors.forename: C J
authors.initials: CJ
authors.lastname: Barnard
authors.forename: F C
authors.initials: FC
authors.lastname: Wei
authors.forename: O A
authors.initials: OA
authors.lastname: Badenhorst
mesh_terms: 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