Soft-Tissue Reconstruction of Open Fractures of the Lower Limb: Muscle versus Fasciocutaneous Flaps

被引:97
|
作者
Chan, James K. -K. [1 ]
Harry, Lorraine [1 ]
Williams, Garry [1 ]
Nanchahal, Jagdeep [1 ]
机构
[1] Univ Oxford, Kennedy Inst Rheumatol, London W6 8LH, England
基金
英国惠康基金;
关键词
OPEN TIBIAL FRACTURES; BLOOD-FLOW; BACTERIAL INOCULATION; STEM-CELLS; ANTEROLATERAL THIGH; PERFORATOR FLAPS; BONE; COVERAGE; REPAIR; PERIOSTEAL;
D O I
10.1097/PRS.0b013e3182589e63
中图分类号
R61 [外科手术学];
学科分类号
摘要
Early vascularized soft-tissue closure has long been recognized to be essential in achieving eventual infection-free union. The question of whether muscle or fasciocutaneous tissue is superior in terms of promoting fracture healing remains unresolved. In this article, the authors review the experimental and clinical evidence for the different tissue types and advocate that the biological role of flaps should be included as a key consideration during flap selection. (Plast. Reconstr. Surg. 130: 284e, 2012.)
引用
收藏
页码:284E / 295E
页数:12
相关论文
共 50 条
  • [41] FASCIOCUTANEOUS FLAPS IN RECONSTRUCTION OF THE LOWER-EXTREMITY
    FIX, RJ
    VASCONEZ, LO
    CLINICS IN PLASTIC SURGERY, 1991, 18 (03) : 571 - 582
  • [42] THE FASCIOCUTANEOUS FLAP - ITS USE IN SOFT-TISSUE DEFECTS OF THE LOWER LEG
    PONTEN, B
    BRITISH JOURNAL OF PLASTIC SURGERY, 1981, 34 (02): : 215 - 220
  • [43] Reconstruction of an extensive tibial soft-tissue defect with multiple local muscle flaps for limb salvage when free-tissue transfer was not an option
    Thornton B.P.
    Pu L.L.Q.
    European Journal of Plastic Surgery, 2004, 27 (5) : 217 - 221
  • [44] Acute unreamed intramedullary nailing and soft tissue reconstruction with muscle flaps for the treatment of severe open tibial shaft fractures
    Tielinen, Laura
    Undahl, Jan E.
    Tukiainen, Erkki J.
    INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2007, 38 (08): : 906 - 912
  • [45] Intentional Temporary Limb Deformation for Closure of Soft-Tissue Defects in Open Tibial Fractures
    Hernandez-Irizarry, Roberto
    Quinnan, Stephen M.
    Reid, John Spence
    Toney, Clarence Brian
    Rozbruch, S. Robert
    Lezak, Bradley
    Fragomen, Austin T.
    JOURNAL OF ORTHOPAEDIC TRAUMA, 2021, 35 (06) : E189 - E194
  • [46] MUSCLE MUSCULOCUTANEOUS AND FASCIOCUTANEOUS FLAPS IN FOREARM RECONSTRUCTION
    HODGKINSON, DJ
    SHEPARD, GH
    ANNALS OF PLASTIC SURGERY, 1983, 10 (05) : 400 - 407
  • [47] Muscle vs. Fasciocutaneous Microvascular Free Flaps for Lower Limb Reconstruction: A Meta-Analysis of Comparative Studies
    Megevand, Vladimir
    Suva, Domizio
    Mohamad, Morad
    Hannouche, Didier
    Kalbermatten, Daniel F.
    Oranges, Carlo M.
    JOURNAL OF CLINICAL MEDICINE, 2022, 11 (06)
  • [48] Vascularized composite tissue transfers for open fractures with massive soft-tissue defects in the lower extremities
    Yajima, H
    Tamai, S
    Kobata, Y
    Murata, K
    Fukui, A
    Takakura, Y
    MICROSURGERY, 2002, 22 (03) : 114 - 119
  • [49] Comments on "The use of lower abdominal perforator flaps in soft-tissue reconstruction after sarcoma resection"
    Giunta, Gabriele
    De Brucker, Ben
    Hamdi, Moustapha
    MICROSURGERY, 2020, 40 (07) : 829 - 830
  • [50] Adipofascial perforator flaps: Its role in reconstruction of soft-tissue defects of lower leg and ankle
    Nanda, Deepak
    Sahu, Shamendra Anand
    Karki, Durga
    Kumar, Sanjay
    Mandal, Amrita
    INDIAN JOURNAL OF PLASTIC SURGERY, 2018, 51 (02) : 216 - 221