Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
744 4 |
Ultima descărcare din IBN: 2019-07-29 23:07 |
SM ISO690:2012 VEREGA, Grigore. Posibilităţi de acoperire a defectelor membrului pelvin cu lambouri insulare (articol de sinteză)
. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2009, nr. 4(10), pp. 232-249. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 4(10) / 2009 / ISSN 1857-1719 | ||||||
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Pag. 232-249 | ||||||
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Rezumat | ||||||
Possibilities of the lower limb's defects coverage with island flaps
The coverage of the lower limb’s soft tissue defects by the island flaps plasty gives
surgeons more possibilities for complicated traumatisms treatment. Being in the situation to
select correctly the method of plasty surgeons analyze three categories of flaps: local (including pivot flaps), local–regional island flaps and those prepared at distance (free microsurgical flaps). The group of local–regional island flaps is located in the neighborhood of defect and by this has a series of features available to this group. In the same time these flaps look like some free microsurgical flaps by their vascularization modality. They have a well-determined vascular axe that is not interrupted from their maternal bed and function in the same way, where as anasthomoses are not applied. There is a need of maximal exploration for the possibilities regarding a more simple procedure in treating complicated defects of the lower limb. However, it must be safe and similar in results to the ones from free microsurgical flaps application. The goal of the study is to analyze the treatment results in patients with the lower limb’s complicated defects coverage by the island flaps’ application. The clinical study includes 300 complicated defects of the lower limb treated by this method. Thus, it was concluded 14 island flaps had been used successfully for the coverage of the lower limb’s complicated defects. The inguinal flap, which is the most limited for migration, covered only the region of proximal extremity of hip, but buttock and dorsal pedis flaps – 2 territorial subdivisions. The saphenous, supramalleolar and superficial peroneal island flaps had in their area three territorial subdivisions. The anterior tibial flap was expanded over 4 surface areas, but posterior tibial one covered 6 regions. The sural flap was applied in 7 territorial regions, and the fibular one in 9 regions. The treatment results were appreciated at the scale of the lower limb’s dysfunctions proposed by Oberg U. (1994). In 243 cases (73.2%) the functional deficit was appreciated within 0-10 points (good results), in 42 cases (21.2%) - within 11-25 points (satisfactory results) and in 15 cases (5.6%) – over 25 points (bad results). |
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