1. The Adipo-Fascial ALT Flap in Lower Extremities Reconstruction Gustillo IIIC-B Fractures. An Osteogenic Inducer?
- Author
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Cherubino, Mario, Corno, Martina, Ronga, Mario, Riva, Giacomo, di Summa, Pietro G., Sallam, Davide, Tamborini, Federico, Maggiulli, Francesca, Surace, Michele, and Valdatta, Luigi
- Subjects
TIBIAL fractures ,BONE fractures ,COMPACT bone ,COMPOUND fractures ,TREATMENT effectiveness ,BONE grafting ,HEALING - Abstract
Background: Purpose of this report is to analyze possible effects and clinical outcomes of anterolateral thigh (ALT)-free fascial flaps on bone healing in Gustilo type IIIB-C open tibial fractures. Methods: We present a technique, wherein the fascia is wrapped around bone stumps, bone chips or not vascularized bone graft were used to fill the defects. Five patients with a mean follow-up of 36 months were treated. Mean time from injury to flap coverage was 72 hours. The mean size of bone defects was 4-7,6 cm. All flaps were Antero Lateral Tight flaps, and the fracture sites did not have any evidence of infection. None of the patients was a smoker. A solid bone union was reached, and full wearing was in a mean of 11 (4โ20) weeks after the injury. The lower limb was saved in 100% of the cases. Despite the goods results, further studies applied on a large number of patients are needed to confirm authors theory, however, we can consider the fascial ALT flap as a valid help for bone healing in 3B-C open tibial fractures. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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