EXTERNAL FIXATOR IMMOBILISED CROSS-LEG FLAP- OUR EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 32
Abstract
BACKGROUND Soft tissue defects of distal third leg has always been a reconstructive challenge. Though free flaps are the first choice, cross-leg flap is still the saviour in difficult non-reconstructable situations. This study was conducted to analyse the outcome of using external fixator for immobilising cross-leg flaps. MATERIALS AND METHODS This was a retrospective descriptive study done on 42 patients over a period of 3 years starting from April 2015 to April 2018, in the Department of Plastic Surgery, Dayanand Medical College and Hospital, Ludhiana. RESULTS A total number of 42 patients (36 males) were included in this study. All patients sustained injury following road traffic accidents. Primary flap coverage (within 24 hours) was done along with orthopaedic intervention in 11 patients. 5 patients had marginal flap necrosis. All patients tolerated external fixator well and did not have pin site infection. CONCLUSION We recommend that all cross-leg flap patients should be immobilised with external fixator.
Authors and Affiliations
Ramneesh Garg, Sheerin Shah, Sanjeev Uppal, Rajinder Mittal, Bhavya Thakur
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