SOFT TISSUE RECONSTRUCTION IN PATIENTS WITH SEVERE OPEN TIBIA FRACTURES

• Main Authors: E. Y. Shibaev, P. A. Ivanov, A. P. Vlasov, D. A. Kisel, M. P. Lasarev, A. V. Nevedrov, L. L. Tsoglin
• Format: Article
• Language: Russian
• Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2016-02-01
• Series: Neotložnaâ Medicinskaâ Pomoŝʹ
• Subjects: open tibia fractures; soft tissue defects; early reconstruction
• Online Access: https://www.jnmp.ru/jour/article/view/70

RESUME. The aim of our study is to develop and introduce the algorithm of the early soft tissue reconstruction for the patients with severe open tibia fractures. We analyzed the treatment results retrospectively and prospectively 84 patients with severe open tibia fractures, complicated by soft tissue defects. In the comparison group (56 patients) we apply late soft tissue reconstruction. In the study group (28 patients) we applied the algorithm of early soft tissue reconstruction by plastic surgery methods. Surgery tactic depends on the patient’s condition, trauma mechanism, soft tissue defects size and localization. The algorithm of early soft tissue reconstruction was used for patients with severe open tibia fractures decreases duration of hospital treatment, rate of deep wound infection and partial necrosis of tibia bone.