Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1387
5
1
gregorian
2008
8
1
22
2
online
1
fulltext
en
Reintroducing the latissimus-rib free flap as a long bone substitute in the reconstruction of lower extremity injuries
Surgery
Surgery
case report
case report
<p> <strong> Abstract </strong></p><p> The leg is a complex district with functions of weightbearing support, stability, </p><p> and motility. The management of extensive and complex defects is more challenging </p><p> and often results in leg amputation or shortening. Leg amputation is a severe </p><p> mutilation that alters the patient’s work and social life by limiting ambulation and </p><p> self-sufficiency. During a 3 years period we treated four patients with leg injury </p><p> consisting of tibial defect who underwent one-stage surgery for soft tissue and bone </p><p> reconstruction. The follow-up period was from 31 to 36 months. Time to bony :::union::: </p><p> ranged from 4 to 7 months. Time to full weight bearing was from 5 to 9 months after </p><p> operation. All of the transferred tissue showed hypertrophy after weight bearing. </p><p> Non:::union::: & abscess occurred in one case. Arterial thrombosis & valgus deformity </p><p> were other postoperation complications. The limb was shorter by an average of 0.5 </p><p> cm in three cases, longer by 1.1 cm in one case, and in the last case, it was not measurable. Other disabling complications were not seen. We believe that this forgotten </p><p> method can be a valuable alternative to other techniques such as free fibula flap in </p><p> certain cases that the surgeon can reconstruct bone & soft tissue defects in one stage. </p><p> </p>
free rib flap, tibial injury, reconstruction
104
110
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-52&slc_lang=en&sid=1
Shahram
Nazerani
Nazerani@netscape.net
20031947532846001627
20031947532846001627
Yes
Department of Surgery, Iran University of Medical Sciences, Firozgar Hospital, Tehran, Iran.
Amir R.
Motabar
20031947532846001628
20031947532846001628
No
Department of Surgery, Iran University of Medical Sciences. Hazrat-e-Rasool-e-Akram Hospital, Niyayesh Street,Te hran, Iran.