Comparative analysis of results of early and late microsurgical reconstructive operations in patients with extensive posttraumatic tissue defects of lower extremities

Abstract

Comparative analysis of patient treatment results with extensive and deep posttraumatic defects of different segments of lower limbs has been done in this article. Early (n=71) and late (n=127) microsurgical reconstructive operations with using island flaps and free axial skin flaps have been performed to all these patients. According to authors, early microsurgical reconstructive operations have significant opportunities due to similar but later done operations. In particular, operative treatment makes necessary conditions for reliably more frequent using of less difficult operations with island flaps and creates statistically reliable reduce of additional operations demand. This treatment also provides the best long-term results and a more complete functional recovery of the damaged lower extremities in terms from two to six years.

Keywords

• последствия травм нижних конечностей
• дефект тканей нижней конечности
• комплекс тканей с осевым кровоснабжением
• пластика островковым лоскутом
• свободная пересадка комплекса тканей
• lower extremities trauma
• tissue defects
• axial type skin flaps
• island flaps
• free flaps transplantation