SIMULTANEOUS FREE-TISSUE TRANSFER AND ILIZAROV DISTRACTION OSTEOSYNTHESIS IN LOWER-EXTREMITY SALVAGE - CASE-REPORT AND REVIEW OF THE LITERATURE

被引:35
作者
FEIBEL, RJ
OLIVA, A
JACKSON, RL
LOUIE, K
BUNCKE, HJ
机构
[1] DAVIES MED CTR, DIV MICROSURG REPLANTAT & TRANSPLANTAT, 45 CASTRO ST, SAN FRANCISCO, CA 94114 USA
[2] DAVIES MED CTR, DEPT SURG, SAN FRANCISCO, CA 94114 USA
[3] UNIV OTTAWA, DEPT SURG, OTTAWA K1N 6N5, ONTARIO, CANADA
[4] UNIV CALIF SAN FRANCISCO, DEPT ORTHOPED SURG, SAN FRANCISCO, CA 94143 USA
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 1994年 / 37卷 / 02期
关键词
D O I
10.1097/00005373-199408000-00027
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The last decade has witnessed the refinement of microvascular tissue transplantation and its application in treating difficult open wounds. Nonetheless, severe type III tibial injuries continue to challenge reconstructive surgeons. The clinical presentation and surgical treatment of a type IIIB tibial fracture, complicated by long-standing chronic osteomyelitis, angulation deformity, and bone shortening, is presented. This case illustrates the benefit of combining microvascular transplantation of distant tissues with the Ilizarov technique of distraction osteosynthesis in the treatment of complicated lower extremity injuries.
引用
收藏
页码:322 / 327
页数:6
相关论文
共 43 条
[1]  
ACLAND RD, 1990, CLIN PLAST SURG, V17, P733
[2]  
ANTHONY JP, 1991, CLIN PLAST SURG, V18, P515
[3]   THE MUSCLE FLAP IN THE TREATMENT OF CHRONIC LOWER-EXTREMITY OSTEOMYELITIS - RESULTS IN PATIENTS OVER 5 YEARS AFTER TREATMENT [J].
ANTHONY, JP ;
MATHES, SJ ;
ALPERT, BS .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1991, 88 (02) :311-318
[4]  
BEHRENS F, 1989, CLIN ORTHOP RELAT R, V241, P5
[5]  
Behrens F., 1989, CLIN ORTHOP RELAT R, V241, P15
[6]  
BRANDT KE, 1991, PLAST SURG FORUM, V14, P388
[7]   THE MANAGEMENT OF OPEN TIBIAL FRACTURES WITH ASSOCIATED SOFT-TISSUE LOSS - EXTERNAL PIN FIXATION WITH EARLY FLAP COVERAGE [J].
BYRD, HS ;
CIERNY, G ;
TEBBETTS, JB .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1981, 68 (01) :73-79
[8]   SEVERE OPEN FRACTURES OF THE TIBIA [J].
CAUDLE, RJ ;
STERN, PJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1987, 69A (06) :801-807
[9]  
CHANG N, 1982, PLAST RECONSTR SURG, V70, P1
[10]   COMPOUND TIBIAL FRACTURES WITH BONE LOSS TREATED BY THE ILIZAROV TECHNIQUE [J].
DAGHER, F ;
ROUKOZ, S .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (02) :316-321