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J Reconstr Microsurg 2006; 22(8): 591-597
DOI: 10.1055/s-2006-956233
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Free and Island Flap Transfers for the Treatment of Motor Vehicle Injuries

Hiroshi Yajima1 , Osamu Kisanuki2 , Yasunori Kobata1 , Kenji Kawate1 , Kazuya Sugimoto1 , Yoshinori Takakura1
  • 1Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan
  • 2Department of Orthopaedic Surgery, Yoshimoto Hospital, Takada, Japan
Further Information

Publication History

Accepted: April 1, 2006

Publication Date:
30 November 2006 (online)

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ABSTRACT

Thirteen patients (10 males and 3 females; age range at surgery: 2 to 41 years, average: 13.5 years) with motor vehicle injuries of the foot (n = 10) and leg (n = 3) were treated using free and island flaps. Donor flaps consisted of a scapular flap in six cases, a peroneal flap in four, a latissimus dorsi musculocutaneous flap in one, gracillis muscle flap in one, and gastrocnemius muscle flap in one case. Free grafts were transferred in 10 patients and pedicle grafts in three. All flaps survived completely. Moderate scarring was noted in two patients who underwent scapular flap transfer, and growth disturbances occurred in two patients with metatarsal fracture accompanying epiphyseal plate injury. Functionally, no patients experienced any disturbance, and all reconstructed sites were cosmetically satisfactory. Early flap coverage of soft-tissue defects due to motor vehicle injury was shown to be useful from the point of view of both cosmetic and functional results.

KEYWORDS

Avulsion injury - traffic accident - flap - foot - children

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Hiroshi YajimaM.D. Ph.D. 

Department of Orthopaedic Surgery, Nara Medical University

840 Shijyo-cho, Kashihara 634-8522, Nara, Japan