title: [Reconstruction of tibial exposure with local muscular flap, VSD and skin transplantation].
abstract: OBJECTIVE
  To investigate the treatment for tibial exposure wounds.
  
  
  METHODS
  39 patients with tibial exposure wounds were divided into three groups according to the exposure location (upper, medium and below). The local muscular flaps were designed to cover the tibial exposure, followed by skin grafts and VSD. VSD was removed one week later.
  
  
  RESULTS
  All the muscular flap and skin graft survived. Mild epidermis erosion happened in 2 cases, which healed spontaneously after dressing. The patients were followed up for 3-6 months with good healing and no walking malfunction.
  
  
  CONCLUSIONS
  The local muscular flap combined with skin graft and VSD is a simple and effective method for tibial exposure wound with short healing time and high successful rate.
authors.forename: Zhong
authors.initials: Z
authors.lastname: Xiaohong
authors.forename: Wang
authors.initials: W
authors.lastname: Minggang
authors.forename: Shui
authors.initials: S
authors.lastname: Qingfu
authors.forename: Chu
authors.initials: C
authors.lastname: Yanjun
authors.forename: Lin
authors.initials: L
authors.lastname: Tao
mesh_terms: D006801:Humans; D022125:Lacerations / Q000601:surgery*; D012867:Skin / Q000293:injuries*; D016038:Skin Transplantation; D013524:Surgical Flaps; D013977:Tibia; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing