Local-advancement soft-tissue coverage in a child with ipsilateral grade IIIB open tibial and ankle fractures.
This case describes the successful treatment of a child with a vascular injury and two ipsilateral grade IIIB open lower leg fractures using two local-advancement soft-tissue techniques. Multiple relaxing skin incisions were used for closure of the wound associated with the patient's midshaft tibial fracture, whereas a randomly patterned rotational fasciocutaneous flap was used for coverage of the wound associated with the patient's medial malleolar fracture. These straightforward local-advancement soft-tissue coverage techniques allowed for treatment of a child with vascular injuries, ensuring the viability of the foot, while preventing distant donor site morbidity and functional sacrifice. Additionally, no special microsurgical or specialty training is necessary to achieve a similar result.
Department of Orthopaedics, State University of New York at Brooklyn/Kings County Hospital Center, USA.
D M
DM
Klein
D A
DA
Caligiuri
B M
BM
Katzman
D016512:Ankle Injuries / Q000601:surgery*; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D016038:Skin Transplantation / Q000379:methods; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps; D016909:Tibial Arteries / Q000293:injuries; D013978:Tibial Fractures / Q000601:surgery*; D016896:Treatment Outcome