title: [Plastic soft tissue coverage in defect fractures of the tibia].
abstract: Sequential radical debridement and early soft-tissue reconstruction have considerably decreased the amputation rate, length of hospital stay, chronic osteitis, the rehabilitation period and secondary reconstructive procedures in lower leg injuries. The introduction of distraction osteotomy and "biologic osteosynthesis procedures" have led to shorter and safer osteoplastic methods. The indication, tactics and technical pitfalls of current interdisciplinary treatment options requiring modifications in soft-tissue coverage are presented.
authors.affiliation: Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Berufsgenossenschaftliche Kliniken "Bergmannsheil", Bochum.
authors.forename: H U
authors.initials: HU
authors.lastname: Steinau
authors.forename: D
authors.initials: D
authors.lastname: Hebebrand
authors.forename: P
authors.initials: P
authors.lastname: Vogt
authors.forename: C
authors.initials: C
authors.lastname: Josten
mesh_terms: D001852:Bone Lengthening; D003646:Debridement; D016267:External Fixators; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008866:Microsurgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012086:Reoperation; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*