Efficacy of free flaps for pediatric trauma patients in an adult trauma center.

摘要: Although many trauma centers are primarily "adult-oriented," the presentation of unusual life- or limb-threatening wounds in children occasionally have mandated urgent microvascular tissue transfer for salvage. For these rare instances, should a microsurgical team accustomed to dealing with adult patients even attempt meet such specialized challenge? A retrospective analysis all free flaps performed by author's from 1984 1993, revealed only 10 pediatric who had 11 separate flaps. Their ultimate success rate was 90.9 percent--statistically same (87.0 percent) as 93 The majority were coverage lower extremity and they successful, eliminating any need traditional pedicled during time period. Improvement technical expertise judgment seemed be more important factors than actual chronological age determining free-flap general, particular. Therefore, population can appropriately an center.