| Titre : | Medial Hemisoleus Flap for Middle Third of the Tibia Defects (2020) |
| Auteurs : | Jose Antonio Delgado Perez ; Pedro Rodriguez ; Michael D. Liette ; Suhail Masadeh |
| Type de document : | Article |
| Dans : | Clinics in Podiatric Medicine and Surgery (Vol. 37, n° 4, October 2020) |
| Article en page(s) : | p. 621-630 |
| Note générale : | doi:10.1016/j.cpm.2020.05.001 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Blessure ; Tibia |
| Mots-clés: | Rabat de soleus ; Reconstruction des membres inférieurs ; Blessure tibiale ; Rabat musculaire |
| Résumé : | Open wounds of the tibia may be caused by trauma, surgery, or chronic ulceration. These wounds often lead to significant morbidity and have the potential for limb loss. The anteromedial portion of the tibia lacks significant soft tissue coverage and is susceptible to open wounds that may lead to bone exposure and subsequent infection. Open fractures can occur as a result of high-energy trauma or from low-energy injuries, in the case of osteoporotic fractures. Soft tissue injuries associated with tibial fractures are an independent factor for developing delayed unions and nonunions, with a range from 9% to 12%. The high prevalence and severe morbidity associated with open wounds of the tibia dictate the need for early wound coverage to minimize complications. Local muscle flaps improve wound vascularity, provide bulk, and limit bacterial colonization and infection. They additionally promote rapid collagen deposition and early tissue regeneration. The soleus muscle flap has proved to be an excellent treatment option for soft tissue coverage in the middle third of the tibia. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0891842220300719 |
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