PMID: 9444713Jan 28, 1998Paper

Early microvascular reconstruction of Gustilo type III-C lower extremity wound. Case report

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
B S AtiyehR R Fakih

Abstract

Current algorithms for lower limb injuries recommend amputation for most Gustilo type III-C injuries with a limb salvage index score of 6-8 or more. Recent improvements in the timing and technique of microvascular flaps with the reduction in bone healing time as a result of better fixation devices and early bone grafting make the option of limb salvage after such severe injuries a valid and acceptable therapeutic approach. We present a case of severe shot gun injury to the leg with a limb salvage index score of 9 that was successfully salvaged by vascular reconstruction followed three days later with a microvascular osteocutaneous scapular flap anastomosed to the divided limbs of a preliminary arteriovenous fistula that had been constructed at the time of the initial vascular repair. The patient was able to walk unaided one year after the injury.

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Citations

Feb 26, 2008·Archives of Orthopaedic and Trauma Surgery·C RollB Kinner
Jul 24, 2001·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·M FujiokaK Makino
Jan 16, 2014·The Indian Journal of Surgery·Faizal AliKhandasamy Yugasmavanan
Mar 6, 2003·Plastic and Reconstructive Surgery·Bishara S AtiyehRamzi S Musharafieh
Aug 10, 2001·Plastic and Reconstructive Surgery·B S AtiyehR S Musharafieh
Aug 27, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Ronghua YangShaobin Yu

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