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Wounds and wound infections. The prof. B.M. Kostyuchenok journal

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Long-term result of using a composite fibula free flap for replacing a gunshot defect of radial shaft in a chronic wound process

https://doi.org/10.17650/2408-9613-2017-4-1-30-33

Abstract

The vascularized fibula osteocutaneous and fasciocutaneous free flap was transplanted to a surgical patient with a gunshot comminuted fracture, a defect of middle third of the diaphysis of right forearm with Ilizarov fixation on it and a defect of soft tissues on radial side of right forearm in a chronic wound process.

It was achieved perfect engraftment of the flap and relief of the wound process in the early postoperative period. The synostosis of the bone part of the flap with fragments of the radial bone happened in 5 months after the operation. 

About the Authors

V. V. Khominets
Department of military traumatology and orthopedic Medical Military Academy
Russian Federation
6 Аcademic Lebedev St., Saint Petersburg, 194044


M. V. Tkachenko
Department of military traumatology and orthopedic Medical Military Academy
Russian Federation
6 Аcademic Lebedev St., Saint Petersburg, 194044


V. S. Ivanov
Department of military traumatology and orthopedic Medical Military Academy
Russian Federation
6 Аcademic Lebedev St., Saint Petersburg, 194044


References

1. Grubor P., Milicevic S., Grubor M., L. Meccariello L. Treatment of bone defects in war wounds: retrospective study // Med Arch, 2015; 69(4); 260-264.

2. Хоминец В.В. Первичная пластика дефектов мягких тканей при хирургической обработке огнестрельных и открытых переломов костей голени: дис. канд. мед. наук. СПб.; 1997. 235. [Khominets V.V. The primary plastic reconstruction of soft tissue defects during surgical treatment of gunshot and open fractures of the lower-legs’ bones (clinical and experimental study): Thesis research of Candidate of Medicine. - St. Petersburg, 1997; 235 p. (In Russ.)]

3. Ferreira P.C., Barbosa R.F., Horta R.J., Bartosch I.M., Reis J.C., Amarante J.M. Gunshot upper extremity injury reconstructed with a fibula osteoseptocutaneous free flap (case report) // Tech Hand Up Extrem Surg, 2009; 13(2); 60-64.

4. Taylor G.I., Corlett R.J., Ashton M.W. The Evolution of free vascularized bone transfer: A 40-Year Experience // Plast. Reconstr. Surg, 2016; 137(4); 1292-1305.


Review

For citations:


Khominets V.V., Tkachenko M.V., Ivanov V.S. Long-term result of using a composite fibula free flap for replacing a gunshot defect of radial shaft in a chronic wound process. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2017;4(1):30-33. (In Russ.) https://doi.org/10.17650/2408-9613-2017-4-1-30-33

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ISSN 2408-9613 (Print)
ISSN 2500-0594 (Online)
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