Vrijespiertransplantatie na gecompliceerde fracturen van onderbeen en enkel; ervaringen bij 32 patiënten

摘要: OBJECTIVE To describe the results of free vascularized muscle transfer for treatment complications severe open fractures distal tibia and ankle region. DESIGN Retrospective. METHODS In 1994-1998, 32 patients underwent soft tissue reconstruction after high energy injury to six took place within one week (group 1); 13 in combination with (re)osteosynthesis cancellous bone grafting infected (defect) pseudarthrosis 2); chronic posttraumatic osteitis existed an average 12 years 3); seven indication was determined by unstable scar tissue, cosmetic reasons, or as preparation corrective osteotomy 4). RESULTS Three haematomas two thrombembolic were encountered. Amputation could not be avoided three patients. Consolidation fracture, arthrodesis and/or eradication infection accomplished all remaining 29 An 2.2 (range: 0-7) reinterventions additionally needed groups 1-3, including reosteosynthesis, sequestrectomy, arthrodesis. CONCLUSION case fracture region, provided cover thereby improving local vascularisation. This protects underlying bone, enhances osteogenesis improves resistance infection.