[Repair of deep burn and traumatic wounds in lower extremities with combined transplantation of multiple pedicled skin flaps].
OBJECTIVE
To summarize the clinical experience in repair of deep burn and traumatic wounds with combined transplantation of different types of pedicled skin flaps in lower extremities.


METHODS
Two hundred and thirty-six patients with 271 deep wounds in lower extremities after burn or trauma were repaired with muscular skin flaps, local fascial flaps and island flaps with vascular pedicle (more than 20 types) in our department from Jan. 1998 to Sept. 2008.


RESULTS
Complete necrosis of skin flaps occurred in 1 case, congestion and necrosis over the edge of skin flaps occurred in 3 cases, which were healed after grafting, and other skin flaps survived well with soft texture. Skin flaps were too bulky in 26 cases, among them 17 cases were thinned, and the appearance of other skin flaps were satisfactory. In 68 patients with functional region injury were recovered to certain extent without contracture.


CONCLUSIONS
Skin flaps with pedicles, multiple transplantations if necessary, can repair deep wounds satisfactorily in lower extremities after deep burn or trauma injury.
Ben
Dao-feng
DF
Institute of Burn Research, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
Ma
Bing
B
Chen
Xu-lin
XL
Zhu
Shi-hui
SH
Tang
Hong-tai
HT
Lu
Wei
W
Cheng
Da-sheng
DS
Xiao
Shi-chu
SC
Xia
Zhao-fan
ZF
D000293:Adolescent; D000328:Adult; D000368:Aged; D002056:Burns / Q000601:surgery*; D002081:Buttocks / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation; D013524:Surgical Flaps; D014945:Wound Healing; D055815:Young Adult