Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

Early Reconstructions of Complex Lower Extremity Battlefield Soft Tissue Wounds

(2017) Early Reconstructions of Complex Lower Extremity Battlefield Soft Tissue Wounds. World Journal of Plastic Surgery. pp. 332-342. ISSN 2228-7914

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Abstract

BACKGROUND Severe lower extremity trauma as a devastating combat related injury is on the rise and this presents reconstructive surgeons with significant challenges to reach optimal cosmetic and functional outcomes. This study assessed early reconstructions of complex lower extremity battlefield soft tissue wounds. METHODS This was a prospective case series study of battled field injured patients which was done in the Department of Plastic Surgery, Baqiyatallah University of Medical Sciences hospitals, Tehran, Iran between 2013-2015. In this survey, 73 patients were operated for reconstruction of lower extremity soft tissue defects due to battlefield injuries RESULTS Seventy-three patients (65 men, 8 womens)ranging from 21-48 years old (mean: 35 years) were enrolled. Our study showed that early debridement and bone stabilization and later coverage of complex battlefields soft tissue wounds with suitable flaps and grafts of lower extremity were effective method for difficult wounds managements with less amputation and infections. CONCLUSION Serial debridement and bone stabilization before early soft tissue reconstruction according to reconstructive ladder were shown to be essential steps.

Item Type: Article
Keywords: Wound Lower extremity Surgical flaps Trauma Battlefield Soft tissue war wounds flap foot ankle injuries defects complications challenges management fractures Surgery
Divisions:
Page Range: pp. 332-342
Journal or Publication Title: World Journal of Plastic Surgery
Journal Index: ISI
Volume: 6
Number: 3
ISSN: 2228-7914
Depositing User: مهندس مهدی شریفی
URI: http://eprints.bmsu.ac.ir/id/eprint/4230

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