[Coverage of post-traumatic complex substance loss on the leg. Apropos of a series of 35 cases]

Thirty-five patients with complex post-traumatic leg defects were treated surgically between 1986 and 1992. 10 of these patients had severe open fractures (Gustillo III a, b and c), 25 others suffered from cutaneous and bony sequelae. The choice of the various covering flaps is discussed according to the place and type of defect and also according to their trophic properties. In the light of their own experience and a review of the recent literature, the authors stress the necessity of covering the defect as soon as possible, particularly when a free flap is indicated. Muscle flaps are preferred. Bony reconstruction can then be achieved by a conventional graft.