Ovidiu Ivan | PubMed Health

PubMed2003

Serratus anterior-rib free flap in limb bone reconstruction.

The authors present their experience in surgical reconstruction of bone lesions in posttraumatic bone defects, pseudarthrosis, and osteitis by using the free serratus anterior-rib flap. The flap was used in 12 cases: 7 cases in the upper limb, and 5 cases in the lower limb. The overall immediate success rate in our series was of 91.7%. We had only one failure, due to a venous thrombosis. In all successful cases, the rib showed good integration. This procedure seems to be very useful in the reconstruction of small and medium bone defects, especially in the upper limb.

Adolescent↗

PubMed2003

Emergency free flaps.

The use of top-quality tissue in covering soft-tissue loss, and precocity in reconstructing injuries and restoring function, are major prerequisites for obtaining a good surgical result. Earlier methods of reconstruction, based on a delay, for various periods of time, in reconstruction, have gradually become obsolete. The employment of more aggressive techniques and research supporting the "as-early-as possible" morphological and functional reconstruction path has become the rule in dealing with emergency reconstructive interventions. This path has been opened by data that describe and clarify the reaction of skin, muscles, and osteoarticular vascular anatomy to traumatic injury. This research, combined with the current availability of a great number of both simple and complex free flaps, has spurred the development of the concept of the "emergency free flap." Here, the authors present a new classification of emergency free flaps, based on their experience using these procedures to treat traumatic injury.

Adolescent↗