RESUMO
The method of forming a bone and soft tissue complex for reconstructive surgery is presented. Sixty-eight transplantations of compound flaps of soft tissues, muscles and bones including ones on microvascular anastomosis were performed in 66 patients. Good functional and esthetic results were seen in 86.8% cases, satisfactory -- in 11.8%. It is very important to form vascular pedicle precisely, and to make an adequate choice of the shape and size of the flap. There is no prolonged immobilization of the extremity after microsurgical transplantation that is very important for children and adolescents because this prevents joint stiffness and long stay in bed in conventional treatment (Italian plasty, Filatov's graft, etc). The proposed method of forming the bone and soft tissue complex simplifies technical aspects of transplantation and monitoring. Transplantation of costal-thoracodorsal complex is a method of choice in large soft tissue defects.
Assuntos
Lesões dos Tecidos Moles/cirurgia , Retalhos Cirúrgicos , Ferimentos por Arma de Fogo/cirurgia , Traumatismos Abdominais/cirurgia , Adolescente , Adulto , Criança , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismo Múltiplo/cirurgia , Lesões do Pescoço/cirurgia , Lesões do Ombro , Traumatismos Torácicos/cirurgia , Resultado do TratamentoAssuntos
Amputação Traumática/cirurgia , Traumatismos da Perna/cirurgia , Reimplante , Acidentes de Trânsito , Criança , Pré-Escolar , Feminino , Humanos , MasculinoRESUMO
Children make up 18% of 238 patients subjected to autotransplantation of tissues with the help of microsurgical technique. The reestablishment of blood circulation was reached in all the operations by making microvascular anastomoses. The results obtained show that the microsurgical autotransplantation of tissues can be successfully used in children and juveniles and is a perspective method.
