title: [Soft tissue and bone defects of the tibia. Treatment with pedicled muscle transfer and a microvascular anastomosed myocutaneous flap].
abstract: The free tissue transfer by microvascular anastomoses has opened new dimensions in reconstructive surgery. However a free microvascular myocutaneous flap should only be used in case of a local pedicled flap being impossible. In treating complicated defects of soft tissue and bones a clear cut gradation of therapeutic steps has to be observed: 1. control of wound infection, 2. wound debridement, 3. soft tissue repair, 4. bone reconstruction.
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D005593:Fracture Fixation, Internal / Q000379:methods; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D011542:Pseudarthrosis / Q000601:surgery*; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery*; D014945:Wound Healing
vernacular_title: Der Weichteil- und Knochendefekt des Unterschenkels. Behandlung mit gestieltem Muskeltransfer und mit mikrovaskulär angeschlossenem Myokutanlappen.