AI Article Synopsis
- Gustilo IIIC injuries of the lower extremities are complex and require careful management by reconstructive surgeons.
- Key treatment steps involve timely vascular repair, repeated cleaning of the wound, and ensuring coverage within 10 days, using options like anterolateral thigh or latissimus dorsi flaps.
- Though complications such as thrombosis, flap loss, and infection are common, a skilled multidisciplinary team can help patients reach good functional recovery.
Article Abstract
Gustilo IIIC injuries of the lower extremity pose a significant challenge to the reconstructive surgeon. Key principles include early vascular repair and serial debridement followed by definitive coverage within 10 days. Primary reconstructive options following vascular repair include the anterolateral thigh flap or the latissimus dorsi muscle flap. Complications include elevated rates of microvascular thrombosis requiring return to the operating room, partial and complete flap loss, and infection. There is also an elevated rate of secondary amputation. However, in spite of higher complication rates, when approached thoughtfully and with an experienced multidisciplinary team, patients can achieve reasonable functional outcomes.
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| http://dx.doi.org/10.1016/j.cps.2020.12.006 | DOI Listing |
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