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Acta Médica del Centro

ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"
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2017, Number 3

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Acta Med Cent 2017; 11 (3)

Colgajo fasciocutáneo sural de base distal en fractura abierta de tibia tipo III B. Presentación de un paciente

Lam SJ, Chacón RJA, Pagola BV
Full text How to cite this article

Language: Spanish
References: 10
Page: 57-61
PDF size: 557.24 Kb.


Key words:

surgical flaps, fractures open.

ABSTRACT

In the open fracture type III B of the distal third of the leg, it can be performed the soft tissue coverage with fasciocutaneous flap of distal base. It is presented a patient in which the above procedure was performed in combination with an external fixator RALCA, with good result. A comparison was made with other reconstructive methods and the advantages presented by this type of flap were considered. It was recommended to extend its use in the Orthopedic Specialty in the province for the variety of injuries in which it is indicated.


REFERENCES

  1. Wood II. General principles of fracture treatment. En: Canale ST, Beaty JM. Campbell’s Operative Orthopedics. España: Elsevier; 2013. p. 2567-73.

  2. Ceballos A. Fijación externa y técnicas afines. 2da ed. La Habana: ECIMED; 2014. p. 96-107.

  3. De C, Nandi SN, Pal AK, Banerjee D, Das SK, Raman R. Use of fasciocutaneous flap for open-type III B tibial fractures--clinical experience and analysis. J Indian Med Assoc [Internet]. 2012 May [citado 12 Abr 2017];110(5):319-20, 322. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23360025

  4. Bibbo C. Reverse sural flap with bifocal Ilizarov technique for tibial osteomyelitis with bone and soft tissue defects. J Foot Ankle Surg. 2014 May-Jun;53(3):344-9. doi: 10.1053/j.jfas.2013.12.008. Epub 2014 Feb 16.

  5. Bista N, Shrestha KM, Bhattachan CL. The reverse sural fasciocutaneous flap for the coverage of soft tissue defect of lower extremities (distal 1/3 leg and foot). Nepal Med Coll J [Internet]. 2013 [citado 12 Abr 2017];15(1):56-61. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24592796

  6. Ignatiadis IA, Tsiampa VA, Galanakos SP, Georgakopoulos GD, Gerostathopoulos NE, Ionac M, et al. The reverse sural fasciocutaneous flap for the treatment of traumatic, infectious or diabetic foot and ankle wounds: a retrospective review of 16 patients. Diabet Foot Ankle [Internet]. 2011 [citado 12 Abr 2017]; 2:10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284289/

  7. Park JS, Roh SG, Lee NH, Yang KM. Versatility of the distally-based sural artery fasciocutaneous flap on the lower leg and foot in patients with chronic disease. Arch Plast Surg [Internet]. 2013 [citado 12 Abr 2017];40(3):220-225. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665865/

  8. Steffner RJ, Spiguel A, Ranieri J, Suk M, Yoo BJ. Case series of sural island flaps used for soft-tissue defects of the distal-third lower extremity. J Wound Care [Internet]. 2012 [citado 12 Abr 2017];21(10):469-75. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23103480

  9. Schmidt K, Jakubietz M, Harenberg P, Holzapfel BM, Rudert M, Meffert R, et al. The distally based adipofascial sural artery flap for the reconstruction of distal lower extremity defects. Oper Orthop Traumatol [Internet]. 2013 [citado 12 Abr 2017];25(2):162-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23525492

  10. Herlin C, Sinna R, Hamoui M, Canovas F, Captier G, Chaput B. Distal lower extremity coverage by distally based sural flaps: methods to increase their vascular reliability. Ann Chir Plast Esthet [Internet]. 2017 [citado 12 Abr 2017];62(1):45-54. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26700329




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Acta Med Cent. 2017;11