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Soft tissue coverage using pedicled flap in combat zone: A case series

Military Medical Research 2021年第2期8卷 273-277页

作者： Laurent Mathieu Soryapong Plang Nicolas de l'Escalopier James Charles Murison Christophe Gaillard antoine bertani Frederic Rongieras Department of Orthopedics Trauma and Reconstructive SurgeryPercy Military Hospital101 Avenue Henri Barbusse92140 ClamartFrance Department of Surgery French Military Health Service AcademyEcole du Val-de-Grace75005 ParisFrance Department of Orthopedics and Trauma Surgery Edouard Herriot Hospital69003 LyonFrance

Background:Soft tissue reconstruction is typically conducted after evacuation from theater of *** circumstances do not allow timely evacuation,however,defect site may need to be reconstructed in the combat *** presentation:A total of 41 patients with extremity soft tissue defect were treated using pedicled flaps by a single orthopedic surgeon during four deployments in Chad,Afghanistan and Mali between 2010 and *** mean age was 25.6 years.A total of 46 injury sites in extremities required flap coverage:19 combat-related injuries(CRIs)and 27 non-combat related injuries(NCRIs).Twenty of the injury sites were ***,63 pedicled flap transfers were carried out:15 muscle flaps,35 local fasciocutaneous flaps and 13 distant fasciocutaneous *** flap types used did not differ for CRIs or *** follow-up was 71 *** included deep infection(n=6),flap failure(n=1)and partial flap necrosis(n=1).Limb salvage rate was 92.7%(38/41).Conclusions:Soft tissue defect can be managed with simple pedicled flaps in theatre of operations if *** reconstructive procedures should be part of the training for military orthopedic *** registration:Retrospectively registered in January 2019(2019-0901-001).

关键词： Pedicled flaps Limited resources War surgery Reconstruction Training

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