[2-stage reconstruction in large loss of substance of the thigh using a fasciocutaneous flap and later on massive bone allograft].
The authors are reporting an observation in a 60 years old patient, of a serious gaping after a traumatism of the thigh with a massive loss of skin and muscles on the lateral aspect and a comminuted fracture the femoral diaphysis over 14 cm. There was no major vascular nervous lesion and after some time of paring and monitoring a fascio-cutaneous fore-inner flap of the thigh was realized. In the second stage, after the closing-up, a frozen-kept femoral allo-transplant was fitted and kept in by means of a bolted nailing. 36 months after the traumatism the transplant was assimilated and the patient was able to walk without any stick. The lack of any serious nervous vascular lesion in this particular case led to realize a rarely employed flap which enabled to solve the problem of the loss of the skin and muscles quickly and to realize the reconstruction by means of a massive bone allo-transplant, the only alternative to obtain a functional member.
Le Huec
J C
JC
Service Orthopédie-Traumatologie-Chirurgie Réparatrice, C.H.U. Pellegrin-Tripode, Bordeaux.
Chauveaux
D
D
Thomas
G
G
Le Rebeller
A
A
D016025:Bone Transplantation; D003451:Cryoprotective Agents; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D013848:Thigh / Q000293:injuries* / Q000601:surgery; D014184:Transplantation, Homologous
D003451:Cryoprotective Agents
Reconstruction en deux temps d'une large perte de substance de la cuisse par lambeau fascio-cutané puis allogreffe osseuse massive.