The use of microvascular free skin-muscle flaps in management of avulsion injuries of the lower leg.
Abstract
The authors used microvascular free skin-muscle flaps to cover avulsion wounds in the lower leg of ten patients. There were three children and seven adults, ranging in age from 5 to 54 years. Vessels supplying gracilis (four) and tensor fascia lata (six) skin-muscle units were anastomosed to the anterior tibial (nine) and posterior tibial (one) vessels. The tensor fascia lata unit has a more constant anatomy and is preferred. Principles of management include: 1) early adequate, but conservative, debridement; 2) continuous bony stabilization; 3) preoperative arteriography; 4) anticoagulation; 5) recipient vessel identification in healthy uninjured tissue; 6) appropriate timing; 7) delayed bone grafting.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | microvascular
|
미세수술 | dict | 2 | |
| 해부 | lower leg
|
scispacy | 1 | ||
| 해부 | Vessels
|
scispacy | 1 | ||
| 해부 | gracilis
|
scispacy | 1 | ||
| 해부 | bone
|
scispacy | 1 | ||
| 합병증 | wounds
|
scispacy | 1 | ||
| 질환 | avulsion injuries
|
C0262386
Avulsed wound
|
scispacy | 1 | |
| 기타 | skin-muscle flaps
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | children
|
scispacy | 1 | ||
| 기타 | fascia lata
|
scispacy | 1 | ||
| 기타 | anterior tibial
|
scispacy | 1 | ||
| 기타 | posterior tibial
|
scispacy | 1 | ||
| 기타 | vessel
|
scispacy | 1 |
MeSH Terms
Adolescent; Adult; Child; Child, Preschool; Fascia Lata; Humans; Leg Injuries; Middle Aged; Muscles; Skin; Skin Transplantation; Surgery, Plastic; Transplantation, Autologous
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