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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.

Plastic & Reconstructive Surgery: August 2012 - Volume 130 - Issue 2 - p 284e–295e
doi: 10.1097/PRS.0b013e3182589e63
Reconstructive: Lower Extremity: Special Topic

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.

London, United Kingdom

From the Kennedy Institute of Rheumatology, University of Oxford.

Received for publication January 9, 2012; accepted February 27, 2012.

Disclosure: The authors have no potential conflicts to declare.

Jagdeep Nanchahal, Ph.D., F.R.C.S.(Plast.), F.R.A.C.S.; Kennedy Institute of Rheumatology, University of Oxford, 65 Aspenlea Road, London W6 8LH, United Kingdom, jagdeep.nanchahal@kennedy.ox.ac.uk

©2012American Society of Plastic Surgeons