Related Experiment Video
Updated: Aug 5, 2026

Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Experiences and lessons about soft-tissue flaps covering of severe open tibial fracture
1Department of Orthopedic Surgery, First People's Hospital, Guangzhou 510180, China.
Objective:
To sum up experiences and lessons ab out management of soft-tissue reconstruction in open tibial fracture over a 6-year period.
Methods:
Twenty-two flap reconstructions were performed to tre at soft-tissue defect of 22 patients with open tibial fracture Type IIIB (Gustilo) from 1993 to 1998. The cases were analyzed and discussed retrospectively aft er follow up of 12-61 months.
Results:
The size of the flap ranged from 6.6 cm(2) to 28.18 cm(2) and the rate of flap failure was 13.6%. Besides, 3 partial necrosis and 2 postoperative infections occurred in this series.
Conclusions:
For soft tissue defect of delayed open tibial fracture Type IIIB, flap reconstruction is still an optimal option. The experiences we obtained are 1) to design a triangular skin extension or a small Z-plasty over the pedicle to reduce the flap tension; 2) to select a unilateral external fixation to provide convenience for any secondary manipulation; and 3) to use serial debridement to diminish flap failure.
Related Concept Videos
Burn Injuries
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Healing II: Complications

