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Complex osteocutaneous injuries--timing of reconstruction. A report of 3 cases
C J Barnard1, F C Wei, O A Badenhorst
1Department of Plastic and Reconstructive Surgery, University of the Orange Free State, Bloemfontein.
Abstract:
Twenty-seven patients with osseous trauma and soft-tissue loss were subjected to a treatment protocol aimed at obtaining definitive wound coverage within 10 days of injury. Reconstructive procedures included 19 successful microvascular tissue transfers as well as 8 pedicle flaps. The rate of serious complications was 8%, and patient morbidity was significantly reduced compared with a previous regimen of late reconstruction. An outline of the protocol is presented and technical points, which might enhance results, are discussed.