Staged management of open tibial fractures with soft tissue defect
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:
Case Report
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
1. Chou YC, Wu CC, Chan YS, Chang CH, Hsu YH, et al. Medial gastrocnemius muscle flap for treating wound complications after double-plate fixation via two-incision approach for complex tibial plateau fractures. J Trauma 2010;68:138−145.
2. Pu LL. Soft-tissue coverage of an extensive mid-tibial wound with the combined medial gastrocnemius and medial hemisoleus muscle flaps: the role of local muscle flaps revisited. J Plast Reconstr Aesthet Surg 2010;63:605−610.
3. Ata UlH, Tarar MN, Malik FS, Khalid K, Riaz A, et al. Hemisoleus muscle flap, a better option for coverage of open fractures involving middle third of tibia. J Ayub Med Coll Abbottabad 2009;21:154−158.
4. Liu, L, Tan G, Luan F, Tang X, Kang P, et al. The use of external fixation combined with vacuum sealing drainage to treat open comminuted fractures of tibia in the Wenchuan earthquake. Int Orthop 2012;36:1441−7.
5. Hou Z, Irgit K, Strohecker KA, Matzko ME, Wingert NC, et al. Delayed flap reconstruction with vacuum-assisted closure management of the open IIIB tibial fracture. J Trauma 2011;71:1705−1708.
6. Burns TC, Stinner DJ, Possley DR, Mack AW, Eckel TT, et al. Does the zone of injury in combat-related Type III open tibia fractures preclude the use of local soft tissue coverage? J Orthop Trauma 2010;24:697−703.
7. Hutson JJ, Jr, Dayicioglu D, Oeltjen JC, Panthaki ZJ, Armstrong MB. The treatment of gustilo grade IIIB tibia fractures with application of antibiotic spacer, flap, and sequential distraction osteogenesis. Ann Plast Surg 2010;64,5:541−552.
8. Ma CH, Wu CH, Yu SW, Yen CY, Tu YK. Staged external and internal less-invasive stabilisation system plating for open proximal tibial fractures. Injury 2010;41:190−6.
9. Džupa V, Nejedlý A, Čech O. Rekurentní osteomyelitida tibie po transportu kosti a její radikální interdisciplinární léčba. Acta Chir Orthop Traumatol Cech 2008;75:387−391.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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