Search results for "Fasciocutaneous flap"
showing 4 items of 4 documents
Le muscle est-il la meilleure couverture pour les fractures ouvertes de jambe Gustillo IIIb ?
2008
Resume La couverture des fractures ouvertes de jambe reste dans la tradition chirurgicale francaise soumise au dogme de la couverture par un tissu richement vascularise : le muscle. L’avenement des lambeaux fasciocutanes depuis plus de 15 ans et des lambeaux perforateurs nous conduit a nous reposer la question de la nature du tissu de couverture pour les fractures ouvertes de jambe. Depuis plusieurs annees, pour des patients fragiles, nous n’hesitons plus devant une configuration locale favorable a proceder a des reconstructions par lambeaux non musculaires. Le but de ce travail est de comparer les reconstructions avec tissus fasciocutanes aux reconstructions classiques par lambeaux muscula…
Muscle versus Fasciocutaneous Flap in Lower Limb Reconstruction: Is There a Best Option?
2017
AbstractSoft tissue defects of the lower extremity that expose underlying bones, joints, and tendons pose challenging problems and generally require free tissue transfer for a successful reconstruction. Historically, muscle flaps were the gold standard choice for lower limb reconstruction. To obviate the unpredictable appearance and high donor-site morbidity of muscle flaps, fasciocutaneous flaps were introduced. Recently, perforator flaps, such as the anterolateral thigh flap, gained a leading role in the reconstructive scenario. There is growing evidence in the literature supporting that fasciocutaneous and perforator flaps are comparable to muscle flaps in terms of flap survival, postope…
Limberg fasciocutaneous transposition flap for the coverage of an exposed hip implant in a patient affected by ewing sarcoma
2017
Highlights • Hemipelvectomy with immediate reconstruction with prosthetic devices for the surgical treatment of malignant tumors is an invasive procedure. • The treatment of an exposed hip implant in these cluster of patient is extremely challenging and the literature shows how negative pressure wound therapy and myocutaneous, both pedicled and free, flaps are workhorses in these situations. • The literature shows that the gold standard in the coverage of exposed prosthetic devices and in the treatment of infected non healing wounds is represented by muscular or myocutaneous flap. • In this paper we report a successful coverage of exposed prosthetic hip implant with a local fasciocutaneous …
Super-Drained Distally Based Neurofasciocutaneous Sural Flap: A Case Series and Review of Literature
2015
Objective: The distally based neurofasciocutaneous sural flap is central to the armamentarium for the reconstruction of leg's distal third, ankle, and hindfoot. Despite the use of adapted techniques aimed at increasing the flap's reliability, venous congestion remains a frequently encountered problem. We present a venous super-drainage technique used by the senior author to reduce venous congestion and improve flap reliability when harvesting larger flaps. Methods: A retrospective chart review, from January 2002 to October 2008, at 2 tertiary care centers, was conducted on all cases of inferior limb reconstruction with reverse sural flaps on defects greater than 10 × 5 cm. In addition, a li…