Staged management of open tibial fractures with soft tissue defect

Česká verzia

Authors: R. Burda; P. Cibur; R. Morochovič; Ľ. Tomčovčík
Authors place of work: Klinika úrazovej chirurgie, Univerzitná nemocnica Louisa Pasteura, Košice, prednosta: prof. MUDr. M. Kitka, Ph. D.
Published in the journal: Rozhl. Chir., 2014, roč. 93, č. 7, s. 391-395.
Category: Kazuistika

Summary

Open tibial fractures with extensive soft tissue injury and accompanying bone defect are still a challenge for surgeons. Soft tissue injury is often underestimated in clinical practice. In our case report, we present the options for clinical usage of heterologous bone grafting combined with autologous bone stem cells as a therapeutic alternative to calotaxis and free bone flaps.

Key words:
bilateral open tibial fractures − critical size bone defects − local rotational muscle flaps − the gastrocnemius muscle – vacuum-assisted closure

Zdroje

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