The Adipo-Fascial ALT Flap in Lower Extremities Reconstruction Gustillo IIIC-B Fractures. An Osteogenic Inducer?

Details

Serval ID
serval:BIB_1D04799226B0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The Adipo-Fascial ALT Flap in Lower Extremities Reconstruction Gustillo IIIC-B Fractures. An Osteogenic Inducer?
Journal
Journal of investigative surgery
Author(s)
Cherubino M., Corno M., Ronga M., Riva G., di Summa P.G., Sallam D., Tamborini F., Maggiulli F., Surace M., Valdatta L.
ISSN
1521-0553 (Electronic)
ISSN-L
0894-1939
Publication state
Published
Issued date
01/10/2019
Peer-reviewed
Oui
Pages
1-6
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Background: Purpose of this report is to analyze possible effects and clinical outcomes of anterolateral thigh (ALT)-free fascial flaps on bone healing in Gustilo type IIIB-C open tibial fractures. Methods: We present a technique, wherein the fascia is wrapped around bone stumps, bone chips or not vascularized bone graft were used to fill the defects. Five patients with a mean follow-up of 36 months were treated. Results: Mean time from injury to flap coverage was 72 hours. The mean size of bone defects was 4-7,6 cm. All flaps were Antero Lateral Tight flaps, and the fracture sites did not have any evidence of infection. None of the patients was a smoker. A solid bone union was reached, and full wearing was in a mean of 11 (4-20) weeks after the injury. The lower limb was saved in 100% of the cases. Conclusion: Despite the goods results, further studies applied on a large number of patients are needed to confirm authors theory, however, we can consider the fascial ALT flap as a valid help for bone healing in 3B-C open tibial fractures.
Keywords
ALT flap, fascial flap, lower extremities reconstruction, microsurgery, osteogenic induction
Pubmed
Web of science
Create date
03/10/2019 10:48
Last modification date
16/07/2020 9:42
Usage data