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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Distally based sural fasciomusculocutaneous flap for treatment of wounds of the distal third of the leg and ankle with exposed internal hardware
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Distally based sural fasciomusculocutaneous flap for treatment of wounds of the distal third of the leg and ankle with exposed internal hardware

机译：基于远端的腓肠肌筋膜皮瓣，用于治疗腿部和踝部远端三分之一的伤口，并暴露内部硬件

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Soft tissue reconstruction of the distal third of the lower limb with exposure of the internal hardware is a challenging problem with several potential complications, such as exposure of the fracture line, fracture instability and bacterial contamination. The treatment of these lesions usually consists of substitution of the internal hardware with external fixation devices and further flap coverage. We propose a different reconstructive approach, characterized by harvesting a sural fasciomusculocutaneous flap on the exposed internal hardware once a sterile ground has been obtained. Four patients were retrospectively analyzed. Soft tissue reconstruction was achieved in all cases. In one case hardware removal was necessary for complete healing. The sural fasciomusculocutaneous flap is a safe alternative to other pedicled and free flaps. Moreover, it allows direct coverage of internal fixators, thus completing the reconstruction in less time. This flap fits best to the morphology of the wound and internal hardware, leaving the main vascular trunk of the leg intact and at the same time providing a reliable vascular supply.
机译：下肢远端三分之一的软组织重建以及内部硬件的暴露是一个具有挑战性的问题，具有多种潜在的并发症，例如骨折线暴露，骨折不稳定和细菌污染。这些病变的治疗通常包括用外部固定装置代替内部硬件并进一步覆盖皮瓣。我们提出了一种不同的重建方法，其特征是一旦获得无菌地面，就在裸露的内部硬件上收获腓肠肌筋膜皮瓣。回顾性分析四例患者。在所有情况下均实现了软组织重建。在一种情况下，必须拆除硬件才能完全治愈。腓肠肌肌皮瓣是其他带蒂皮瓣和游离皮瓣的安全替代方法。而且，它可以直接覆盖内部固定器，从而在更短的时间内完成重建。该瓣最适合伤口和内部硬件的形态，使腿的主要血管干完好无损，同时提供可靠的血管供应。

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