A study of Flap Coverage of Limbs in Orthopaedics
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 6
Abstract
Abstract: Open / compound fractures of the limbs are very common and challenging in this modern era of industrial and road traffic accident and is a difficult task for the orthopaedic surgeon.The aim of this study is how to minimise the morbidity, mortality, incidence of amputation and other complications of fractures by way of timely intervention with different types of flap coverage of limbs. This study was carried out in the department of orthopaedics and traumatology and department of plastic surgery - Osmania General Hospital, Hyderabad during June 1996 - Feb 1999. A total no. of 68 cases of soft tissue coverage procedures were done including different varieties of flaps like split skin grafting, fascio cutaneous, muscle, cross leg, abdominal, groin and free flaps in patients of 18 - 45 years of age group and more than 80% patients are males. In our study of 68 cases of reconstruction, 38 cases (55.8%) are carried out in the form of skin grafts, 16 cases (23.5%) are local flaps-muscle and fasciocutaneous flaps, 8 cases (11.7%) are cross leg flaps, 2cases (2.9%) are abdominal flaps, 2 cases (2.9%) are groin flaps and 2 cases (2.9%) free flaps. The grading of results are assessed based on sound union of the fracture, stiffness / range of movements of neighbouring joints, amount of scar, presence / absence of DNVD and flap necrosis. We achieved excellent results in 32 cases (47.0%), goodin 20 cases (29.4%), fair in 12 cases (17.7%) and poor in 4 cases (5.9%). It is very much useful by timely intervening and planning for soft tissue coverage in minimising the incidence of infection rate, decreasing the hospital stay and facilitating the congenial condition for further definitive management of fracture union. Flap coverage of the limbs has a most significant role in decreasing the morbidity, mortality and amputations of limbs due to infection of soft tissue and infected non unions.
Authors and Affiliations
N Brahma Chary, J Ashok Vardhan Reddy
Keywords
Related Articles
- EP ID EP371280
- DOI -
- Views 87
- Downloads 0
Screening of Gestational Diabetes Mellitus with 75gm OGTT and its effects on Feto-maternal Outcome
Our study was designed to find out the incidence of Gestational Diabetes Mellitus by using 75 gm oral glucose tolerance test as a single step procedure to both screen and diagnose and to know the effects of gestational d...
Analysis of risk factors and outcome in the management of Enterocutaneous Fistulae
Abstract: Enterocutaneous fistulas remain one of the most serious complications of abdominal surgery as they comprise a diverse array of intestinal pathology and presents with a variety of clinical presentation. Despite...
Comparative Study to Evaluate Effect of Hydroxychloroquine Versus Sitagliptin as Add on Therapy in Patients with Type 2 Diabetes Inadequately Controlled on Combination with Metformin and Gliclazide: A Multicenter, Observational Trial
Abstract: Hydroxychloroquine as an add on treatment improves glycemic profile in type 2 diabetes mellitus (T2DM) patients who were inadequately control on Metformin and Gliclazide. This 24 week multicentre observational...
Performance Testing in Indian Rugby League Players
Success in rugby league football seems heavily reliant on players possessing adequate position specific, physical fitness qualities such as strength, power, speed, agility, endurance, and individual skills. The purpose o...
Evaluation of Status of Salivary Copper in Patients with Oral Leukoplakia
The objective of this study was to evaluate the level of copper (Cu) in saliva of patients with oral leukoplakia (OL) and to compare the values with healthy controls. The study group comprised of 25 clinically diagnosed...