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Local and regional options for soft tissue cover in the limbs

Local and regional options for soft tissue cover in the limbs. Barbara Jemec Consultant Plastic Surgeon The Royal Free Hospital. Why?. cover and blood supply. Avoid surprises. For the surgeon…. For the patient……. Plan. A B C…. The VAC. Vacuum Assisted Closure

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Local and regional options for soft tissue cover in the limbs

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  1. Local and regional options for soft tissue cover in the limbs Barbara Jemec Consultant Plastic Surgeon The Royal Free Hospital

  2. Why? cover and blood supply

  3. Avoid surprises

  4. For the surgeon….

  5. For the patient…….

  6. Plan A B C…

  7. The VAC Vacuum Assisted Closure Valuable Additional Clinical (time)

  8. Muscle vs Fasciocutaneous? Soft-tissue reconstruction of open fractures of the lower limb: muscle versus fasciocutaneous flaps. Chan, Harry, Williams, Nanchahal   Plast Reconstr Surg. 130:284e-295e, (Aug 2012).

  9. Lower limb zones • Upper third • Middle third • Ankle • Foot

  10. Gastrocnemius

  11. Fasciocutanous flap 25-27cm 17-19cm 9-12cm

  12. Turnover flap

  13. Keystone flap

  14. Flexor Hallucis Brevis Flap

  15. Medial Plantar flap

  16. Upper limb

  17. Quaba flap

  18. Venkatswami

  19. Random pattern - abdominal flap

  20. Reverse radial forearm flap

  21. Posterior interosseus artery flap

  22. Pedicled groin

  23. Over to Paul Smith

  24. BRITISH ORTHOPAEDIC ASSOCIATION and BRITISH ASSOCIATION OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SURGEONS STANDARD for TRAUMA – 2009 BOAST 4: THE MANAGEMENT OF SEVERE OPEN LOWER LIMB FRACTURES

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