Split free flap and monofixator distraction osteogenesis for leg reconstruction.
The use of a split muscle flap widens the indications of unilateral external fixation in the treatment of type IIIB open tibial fractures with large bone defects. The same frame can be used for early stabilization and for secondary distraction lengthening procedures. The use of a split flap allows an easy, safe, and painless pin migration. The combination of these techniques represents a very safe solution, especially for patients in poor general and vascular condition.
Delaere
O P
OP
Department of Orthopaedics, Cliniques Universitaires Saint Luc, Brussels, Belgium. olivier.delaere@skynet.be
Barbier
O J
OJ
D016025:Bone Transplantation; D003646:Debridement; D016267:External Fixators; D005260:Female; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery; D019857:Osteogenesis, Distraction / Q000295:instrumentation*; D011859:Radiography; D012086:Reoperation; D016868:Serratia Infections / Q000000981:diagnostic imaging / Q000601:surgery; D012706:Serratia marcescens; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000601:surgery; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*