外科ジャーナル

Coverage Techniques in a Crush Syndrome Case with Extended Soft-Tissue Defect of the Shank

Abstract

Laura Maria Curic

Introduction: The soft-tissue defects with bone exposal at the level of the shank raises issues in choosing the optimal surgical solution of coverage, since the locoregional muscular flaps assayed from this level are limited as number. In the introduction we present the muscular locoregional flaps most used in practice for solving the defects from the anterointernal region of the shank in the order of frequency.

Case report: We exemplify the therapeutical solutions applied in a case of crush syndrome of young men of 23 years old. A hemisolear medial flap, a flexor digitorum longus flap and a split-thickness skin graft were done. Kinethotherapy was part of the recovery treatment.

Results: Follow-up at 2 years confirmed very good functional outcomes with almost complete motor function of the lower limb.