Split free flap and monofixator distraction osteogenesis for leg reconstruction

Plast Reconstr Surg. 2000 Jan;105(1):178-82. doi: 10.1097/00006534-200001000-00031.

Abstract

The use of a split muscle flap widens the indications of unilateral external fixation in the treatment of type IIIB open tibial fractures with large bone defects. The same frame can be used for early stabilization and for secondary distraction lengthening procedures. The use of a split flap allows an easy, safe, and painless pin migration. The combination of these techniques represents a very safe solution, especially for patients in poor general and vascular condition.

Publication types

  • Case Reports

MeSH terms

  • Bone Transplantation
  • Debridement
  • External Fixators*
  • Female
  • Fracture Healing / physiology
  • Fractures, Open / diagnostic imaging
  • Fractures, Open / surgery*
  • Humans
  • Middle Aged
  • Multiple Trauma / diagnostic imaging
  • Multiple Trauma / surgery
  • Osteogenesis, Distraction / instrumentation*
  • Radiography
  • Reoperation
  • Serratia Infections / diagnostic imaging
  • Serratia Infections / surgery
  • Serratia marcescens
  • Surgical Flaps*
  • Surgical Wound Infection / diagnostic imaging
  • Surgical Wound Infection / surgery
  • Tibial Fractures / diagnostic imaging
  • Tibial Fractures / surgery*