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 64
- Downloads 0
Assessment of hemoglobin, RBC Count, MCH &colour index status in 1st year medical students
Abstract: Aim of the study is to assess the hemoglobin,RBC count, MCH and Colour index status of 1st year medical students.60 medical students of 1st year in VMKVMC in Salem were asked to measure their own Hemoglobin and...
Ultrasonographic measurement of cervical length at 18-24 weeks of gestation as a predictor for preterm labour
This study was undertaken to evaluate the cervical length ultrasonographically at 18 to 24 weeks of gestation in asymptomatic women and predicting risk of preterm labour and delivery. A hospital based prospective study w...
To Objectively Document the Deformity Before, and After Manipulation Using Pirani Scoring For Treatment of Idiopathic Clubfoot In Children Below Two Years of Age
The purpose of this study was to evaluate the early results of the Ponseti Method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot in patients treated in Children’s Orthopaedic Clinic and...
Infantile Yolk Sac Tumor of Testis – A Case Report
Abstract: Yolk sac tumor is the most common tumor of testis in children below 3 years. Most of these tumors present as painless, enlarged testicular masses. They are most frequently associated with elevated alphafetopro...
Delusional disorder joined opioid dependence
Delusional disorder allied with opioid dependence is a proceeding conundrum. The main objective is to portray a patient with delusional disorder affiliated with opioid dependence. In results opioid can persuadeor exist w...