Rotational Fasciocutaneous Flap-A Rescue Technique for exposed Tibia bone.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2020, Vol 32, Issue 04
Abstract
Objective: To determine the outcome of local rotational fasciocutaneus flap in the treatment of exposed tibia bone. Methods: We conducted this descriptive study in Department of Orthopedic surgery Liaquat University of Medical and Health Sciences, Jamshoro in collaboration with department of plastic surgery Liaquat University of Medical and Health Sciences, Jamshoro from 3rd January 2017 to 3rd June 2020. Patients of either gender and age with open tibia fractures and skin loss meeting the inclusion criteria were enrolled in our study. All patients were operated for fracture stabilization and coverage of the skin defect with rotational fasciocutaneous flap. Flap survival was assessed and results were graded as good, fair and failure as per Ponten criteria. Results: In this study 23 patients were included. Majority (78.26%, n=18) were males while females were 5(21.73%). Mean age was 31.8±9(range 18 to 46 years). Right tibia was involved in 14(60.8%) and left in 9(39.1) patients. Skin loss involved middle third of tibia was in 12(52.1%) patients, proximal third in 5(21.7%), distal third in 3(13%) and skin loss extended from middle to distal third in 3(13%) patients. The length of the flap varied from 9cm to 19 cm while the width varied from 3.5 cm to 9.5 cm. Flap survival results were good in 20(86.9%) patients and fair in 3(13%) patients. No flap failure was noted. Conclusion: Tibia fracture with skin loss treated with local rotational fasciocutaneus flaps produced good and fair outcome results without any flap failure in our series. We therefore recommend local rotational fasciocutaneus flap a technique of choice for coverage of variable tibia skin loss with fractures.
Authors and Affiliations
Mahesh Kumar Mugria1, Zamir Hussain Tunio2, Rizwan Ali Jhatiyal3, Kishore Kumar Khatri4, Muhammad Azeem Akhund5, Muhammad Kashif Abbasi6
Keywords
Related Articles
- EP ID EP741534
- DOI -
- Views 28
- Downloads 0
Epidemiology and In-Hospital Clinical Outcome of Post Traumatic Limb Amputations in Lady Reading Hospital Peshawar
Objective: To find out the epidemiology and in-hospital clinical outcome of post traumatic major limb amputations. Methods: This descriptive case series study was carried from February 2014 to June 2016. Life saving m...
Clinical and Radiographic Outcomes of Uncoforaminotomy in Anterior Cervical Discectomy and Fusion (ACDF): Our experience
Abstract: Objective: To evaluate clinical and radiological outcomes of individuals undergoing ACDF with or without Uncovertebral joint decompression. Methods: This retrospective study was conducted in Orthopedic a...
From “Orthopaedic Surgery” to “Orthopaedic Needling.”
Knee Osteoarthritis affects millions of people around the world. Although joint replacement for end stage osteoarthritis improves the quality of life of many it is expensive and some people may not be satisfied with this...
Outcome of Forearm Shaft Fractures in Adults Treated by Dynamic Compression Plate (DCP)
To evaluate the clinical and radiographic outcome after open reduction and internal fixation of the forearm diaphyseal fractures by Dynamic Compression plate (DCP). Methodoligy: We prospectively, investigated the clin...
Motorbike Spoke-Wheel Injuries of the lower limb treated with Fascio-Cutaneous Sural Artery Flap at a Tertiary Care Hospital
Objective: To determine the efficacy of reverse fascio-cutaneous sural artery flap in the treatment of heel pad injuries due motorbike spoke-wheel trauma. Methods: This descriptive study was conducted in Department of...