Plastic and Reconstructive Surgery

Skip Navigation LinksHome > August 2012 - Volume 130 - Issue 2 > Soft-Tissue Reconstruction of Open Fractures of the Lower Li...
Plastic & Reconstructive Surgery:
doi: 10.1097/PRS.0b013e3182589e63
Reconstructive: Lower Extremity: Special Topic

Soft-Tissue Reconstruction of Open Fractures of the Lower Limb: Muscle versus Fasciocutaneous Flaps

Chan, James K.-K. M.A.(Cantab.), M.R.C.S.; Harry, Lorraine M.A.(Cantab.), Ph.D., M.R.C.S.Ed.; Williams, Garry Ph.D.; Nanchahal, Jagdeep Ph.D., F.R.C.S.(Plast.), F.R.A.C.S.

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Summary: Early vascularized soft-tissue closure has long been recognized to be essential in achieving eventual infection-free union. The question of whether muscle or fasciocutaneous tissue is superior in terms of promoting fracture healing remains unresolved. In this article, the authors review the experimental and clinical evidence for the different tissue types and advocate that the biological role of flaps should be included as a key consideration during flap selection.

©2012American Society of Plastic Surgeons


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