title: [Surgical therapy for massive deep skin and soft tissue injuries].
abstract: OBJECTIVE
  To explore the methods of repair of massive deep skin and soft tissue injuries.
  
  
  METHODS
  Fifty-six patients with deep skin and soft tissue injuries were hospitalized from July 2006 to January 2008. Among them, 23 cases were caused by burn, 17 cases by electric injury, 7 cases by hot crush injury, 6 cases by avulsion injury, and 3 cases due to other reasons (including traffic accident, crush injury, soft tissue infection respectively). Sixty-five skin flaps were raised to repair and reconstruct the injured tissues, including 21 local flaps, 18 distant pedicled skin flaps, and 26 free skin flaps. The area of skin flaps ranged from 1.5 cm x 1.0 cm to 39.0 cm x 23.0 cm.
  
  
  RESULTS
  Sixty skin flaps survived completely, partial necrosis occurred in 3 flaps, and complete necrosis in 2 flaps. There was no obvious difference in average survival rate among local skin flaps (95.2%), distant pedicled skin flaps (88.8%), and free skin flaps (92.3%, P > 0.05).
  
  
  CONCLUSIONS
  Skin flap transposition can be still considered as the major effective method in repair of massive deep skin and soft tissue injury. On the premises of high survival rate, free skin flap transposition can be considered as the first choice.
authors: Burns Center of PLA, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China.
authors: Zhao
authors: Z
authors: Zheng
authors: Da-hai
authors: DH
authors: Hu
authors: Ming-da
authors: MD
authors: Xu
authors: Xiong-xiang
authors: XX
authors: Zhu
authors: Jun-tao
authors: JT
authors: Han
authors: Mao-long
authors: ML
authors: Dong
authors: Ke
authors: K
authors: Tao
authors: Hong-tao
authors: HT
authors: Wang
authors: Song-tao
authors: ST
authors: Xie
authors: Chu-yun
authors: CY
authors: Jiang
authors: Bi
authors: B
authors: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D012867:Skin / Q000293:injuries*; D016038:Skin Transplantation / Q000379:methods; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D055815:Young Adult