Technique Tip: Platysma-flap Approach to the Clavicle.

Détails

ID Serval
serval:BIB_A28EFDFCE41D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Technique Tip: Platysma-flap Approach to the Clavicle.
Périodique
Techniques in hand & upper extremity surgery
Auteur(s)
Gallusser N., Goetti P., Moor B.K.
ISSN
1531-6572 (Electronic)
ISSN-L
1089-3393
Statut éditorial
Publié
Date de publication
03/2019
Peer-reviewed
Oui
Volume
23
Numéro
1
Pages
31-32
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The surgical treatment of a displaced fracture of the clavicular shaft generally consists in an open reduction and plate fixation. The most common complications of the classic direct "transplatysma" approach are hardware related. These consist of simple hardware irritations requiring secondary plate removal but also feared wound healing problems ranging from dehiscence to superficial and deep wound infections. In the present article, we describe the so-called "platysma-flap" approach in which the platysma muscle is entirely preserved and distally raised as a flap. This modified exposure allows to cover the osteosynthesis with a viable, well perfused soft tissue envelope and is a safe alternative to the standard "transplatysma" approach.
Mots-clé
Clavicle/injuries, Clavicle/surgery, Fracture Fixation, Internal, Fractures, Bone/surgery, Humans, Superficial Musculoaponeurotic System/transplantation, Surgical Flaps
Pubmed
Création de la notice
13/12/2018 16:40
Dernière modification de la notice
20/08/2019 15:08
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