Retrospective analysis of effectiveness of different flaps in patients 5 with open tibia fractures

In the article the results of 67 procedures of soft tissue reconstructions for the patients with open tibia fractures were analyzed. In the group, where the authors used skin rotational flaps, afterwards there were 3 (37.5%) patients with deep infection. The skin flap necrosis was diagnosed in 5 (62.5%) cases. In the group, where the authors used the reverse sural flap the deep infection occurred in 2 (28.6%) cases, but the flap necrosis developed in 3 (42.9%) cases. In the group where the authors used local muscular flaps, the deep infection occurred in 5 cases (13.2%) and the flap necrosis developed in 5 cases. In the group where we used the free muscular flap there was only 1 patient who got the deep wound infection and there were 2 patients who got necrosis. The clinical results that demonstrated the best healing and minimal complication rate of muscular flaps were confirmed high blood flow data in those flaps, measured by laser Doppler flowmetry. It means that using muscular flaps technique is most suitable for the soft tissue reconstructions in open tibia fractures. The type of the flap’s utilization is not important. Skin flap is a second line method of choice if it’s not possible to use muscular flap technique.

открытые переломы костей голени, дефект мягких тканей, пластика покровных тканей, осложнения, open tibia fractures, soft tissue defect, soft tissue plasty, complications