Fasciocutaneous free flaps are more reliable than muscle free flaps in lower limb trauma reconstruction: experience in a single trauma center.

摘要: Background Muscle (M) and fasciocutaneous (FC) free flaps are frequently used options in the reconstruction of traumatic lower limb injuries. The use one flap over another has remained topic controversy literature. With a large experience, we sought to evaluate key outcomes M versus FC reconstructions trauma single center. Methods A consecutive 7- year review all for performed at Royal Melbourne Hospital was conducted. Patient data were prospectively entered into unit database retrospectively reviewed. Results One hundred three patients underwent 105 (M = 48 FC = 57) trauma. We experienced rate 2.9% total failures 11.4% partial losses. Total represented 6.3% 0% flaps. included 15.8% 5.3% Latissimus dorsi (40% group) radial forearm (67% most commonly each group. There statistically significant difference between groups rates reoperation (M = 44% FC = 16%), postoperative infection (M = 38% FC = 12%), fracture nonunion (M = 40% FC = 21%), donor site morbidity (M = 25% FC = 4%). Nonstatistically differences encountered with higher osteomyelitis (M = 14.6% FC = 10.5%), unplanned bone graft (M = 14.6 inability bear full weight 1 year (M = 30.2% FC = 17.0%) found In our cohort, metal coverage resulted reoperation, infections, loss than (M = 61% FC = 25%, p  Conclusion Statistically complication reliability markers This study be more reliable injuries major