[The application of external fixator for complex tissue defect in the forearm]

Area of Science:

• Orthopedic Surgery
• Trauma Reconstruction
• Microsurgery

Context:

• Complex tissue defects in the forearm present significant reconstructive challenges.
• Traumatic injuries often involve exposed bone, tendons, or muscles requiring robust stabilization.
• Traditional methods like plaster casts may have limitations in securing complex flap constructs.

Purpose:

• To evaluate the efficacy of external fixators in managing complex forearm tissue defects.
• To assess the outcomes of pedicle flap repairs stabilized with external fixators.
• To compare the external fixator method with traditional fixation techniques.

Summary:

• Seventeen patients with complex forearm tissue defects underwent pedicle flap repair stabilized by external fixators.
• The external fixator maintained pedicle position, preventing complications like flap necrosis and vessel spasm.
• Successful wound healing and satisfactory functional restoration of the hand and forearm were observed in most patients.

Impact:

• External fixators provide a reliable method for stabilizing pedicle flaps in forearm reconstruction.
• This technique potentially reduces complications associated with complex tissue defects.
• Improved functional outcomes enable patients to return to work and daily activities.