Abstract

Expose Tibia Coverage Options

Background: Among the most widely used techniques direct closure, skin grafting, local flaps, pedicled flap, and free flap are worthy of note. The reconstruction of traumatic soft tissue defects in the distal third of the leg is one of the most challenging problems in lower limb surgery. Usually, the low mobility of the surrounding skin does not make a direct closure possible. Aim: Different surgical options in the management of lower third leg defects. Material and method: The study was conducted in the Department of Plastic & Reconstructive Surgery Institute of Post Graduate Medical Education and Research (IPGME & R) and SSKM Hospital, Kolkata from January 2018 to December 2019. Result: Several patients were admitted to the Department of Plastic & Reconstructive Surgery and referred patients from the Department of General Surgery and Orthopaedic Surgery, IPGME & R, and SSKM Hospital, Kolkata. From these patients, we have taken 70 patients in which 30 (42.9%) patients were female and 40 (57.1%) patients were male. The mean age (mean ± S.D.) of patients was 38.2286 ± 18.4651 years. Conclusion: Fasciocutaneous flaps may represent a good alternative to the free flaps in areas where other local reconstructive procedures are not possible.

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