Myofasciocutaneous expansion in the tegumentary rehabilitation of the amputation stump.
In post-traumatic amputations, in particular in leg amputations, the presence of an unstable scar or of ulcerous areas that are difficult to heal in the site of the amputation stump constitutes a repair problem that is not easily solved. In this specific field of reconstruction skin expansion has earned significant agreement, and is even considered to be a safe and reliable method for the surgical rehabilitation of the amputation stump, allowing us to obtain high-quality tegumentary covering, with no excessive thickness, that adapts well to the prosthesis and to the underlying skeleton, and that is characterized by good sensitivity of protection. Tegumentary amplification may, in some cases, also become myocutaneous, allowing us to obtain more tissue thickness for protection in patients submitted to chronic loading that lasts longer and in those with thin teguments, in which traditional expansion could determine excessive narrowing of the tegumentary covering, following atrophy caused by compression of the subcutaneous adipose tissue.
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Cattedra di Chirurgia Plastica Ricostruttiva, Università, Udine.
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Longhi
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Vaienti
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Azzolini
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D000063:Accidents, Traffic; D000328:Adult; D000672:Amputation Stumps / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D012883:Skin Ulcer / Q000209:etiology / Q000601:surgery; D013524:Surgical Flaps; D015626:Tissue Expansion / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome