دورية
One-stage reconstruction of war wounds with free osteocutaneous flaps
| العنوان: | One-stage reconstruction of war wounds with free osteocutaneous flaps |
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| المؤلفون: | Dz@?epina, I., Stanec, Z., S@?krbic, S., Hulina, D., Ivrlac@?, R., Unus@?ic, J., Montani, D. |
| المصدر: | British Journal of Plastic Surgery; February 1997, Vol. 50 Issue: 2 p81-87, 7p |
| مستخلص: | Thirty-one patients with traumatic osteocutaneous defects of the extremities sustained during the war in Croatia and Bosnia and Herzegovina were treated at the Institute of Plastic-Reconstructive and Breast Surgery in Zagreb. Injuries were categorised using the Mangled Extremity Syndrome Index (MESI). The average length of bone defect was 5.9 cm (range 4-12 cm). Patients were divided in two groups according to the time they had reconstruction with a free osteocutaneous flap: group 1, within 6 days after injury, and group 2, after more than 6 days. The mean time to reconstruction in group 2 was 5.2 weeks. Average time to solid bone union was 13.3 weeks in group I and 16.6 weeks in group 2. Functional outcome was better in group 1 with fewer complications, smaller number of operations and shorter hospital stay. One-stage reconstruction of osteocutaneous defects with free composite flaps provides reliable treatment solution with good functional outcome. |
| قاعدة البيانات: | Supplemental Index |
Full Text Finder | تدمد: | 00071226 14653087 |
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| DOI: | 10.1016/S0007-1226(97)91318-7 |