title: [First treatment of distal loss of tissue on lower limbs. About 15 cases].
abstract: Distal extremity of lower limb sustains the complications of loss of tissue: problem of coverage (cutaneous and tendon necrosis, osteoarticular infection. The whole point of the surgery is to fight against the infection by repeated debridments, against the deformations or their correction by early osteosynthesis (pins and external fixation). The coverage is very important in this treatment: either with Vacuum-Assisted Closure (VAC) and skin graft or fasciocutaneous flap. In spite of this management, the after-effects are important although the conservative treatment is the determining factor of satisfaction.
authors.affiliation: Service de Chirurgie Orthopédique et Traumatologie, HIA Bégin, 69, Avenue de Paris, 94160 Saint-Mandé, France. jpmarchaland@voila.fr
authors.forename: J-P
authors.initials: JP
authors.lastname: Marchaland
authors.forename: E
authors.initials: E
authors.lastname: Bey
authors.forename: A
authors.initials: A
authors.lastname: Paranque
authors.forename: D
authors.initials: D
authors.lastname: Ollat
authors.forename: G
authors.initials: G
authors.lastname: Boddaert
authors.forename: G
authors.initials: G
authors.lastname: Versier
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement; D005260:Female; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011859:Radiography; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps