Microvascular soft-tissue transplantation for reconstruction of acute open tibial fractures: timing of coverage and long-term functional results.

摘要: Seventy-two patients with Gustilo grade IIIB open tibial fractures were treated free-tissue transfers. If successful transfer for soft-tissue reconstruction is performed within 15 days of injury, the risk major complications 3.6 percent. Long-term retrospective follow-up (mean 42 months) revealed limb salvage in 93 percent, good aesthetic results 80 and patient satisfaction 96 However, 66 percent exhibited significantly decreased range motion ankle, 44 experienced swelling edema requiring elastic support activity modification, 50 occasionally required an assistance device ambulation. The long-term employment rate was 28 no returned to work after 2 years unemployment. In contrast, 68 amputees lower extremity trauma over same period years. Patients need realize disruptive nature this injury on their family, job, future.