[Application of tissue flaps in repair of limbs injuries].
OBJECTIVE
To summarize and analyze the main point on the reconstruction of traumatic tissue defects of limbs with vascularized skin and multi-tissue flaps.


METHODS
Sixty-seven cases of traumatic tissue defects of limbs were reconstructed with 14 kinds of skin or multi-tissue flaps. The operative methods included local transposition, cross-transposition with vessel pedicles and vessel anastomosed free transplantation.


RESULTS
Forty cases with vessel anastomosed free transplantation and 26 cases with local or cross-transposition of vessel pedicled flaps were survived. In the followed up cases, 53 cases were satisfied with the outward appearance of the skin flaps. All the cases with bone flap or skin-bone flap resulted in union. And the cases with motor nerve anastomosed myocutaneous flap transplantation had recovered to 2-3 grade muscle contraction ability.


CONCLUSIONS
It is important that the appropriate flaps and operative methods should be chosen according to the size, location, depth and structure of the tissue defects. To raise the success rate and to gain better operation effect, the correct manipulation in operation and the rational postoperative treatment are necessary.
1st Hospital of Wuyi County, Wuyi, Zhejiang, P. R. China 321200.
Yi
Y
Xu
Yi-qi
YQ
Lin
Zhi-yu
ZY
Wang
Hong-ping
HP
Deng
Ge-sheng
GS
Lin
Xue-feng
XF
Jia
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005121:Extremities / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D014947:Wounds and Injuries / Q000601:surgery*