Late results of free-muscle flaps and delayed bone grafting in the secondary treatment of open distal tibial fractures.
Identifieur interne : 006072 ( PubMed/Curation ); précédent : 006071; suivant : 006073Late results of free-muscle flaps and delayed bone grafting in the secondary treatment of open distal tibial fractures.
Auteurs : A E Seyfer ; R. LowerSource :
- Plastic and reconstructive surgery [ 0032-1052 ] ; 1989.
Descripteurs français
- KwdFr :
- Adulte, Complications postopératoires, Dos, Fibula (), Fibula (traumatismes), Fractures du tibia (), Fractures ouvertes (), Humains, Inégalité de longueur des membres inférieurs (étiologie), Lambeaux chirurgicaux, Lymphoedème (étiologie), Muscles (transplantation), Mâle, Méthodes, Transplantation osseuse, Études de suivi, Études prospectives.
- MESH :
- traumatismes : Fibula, Muscles.
- étiologie : Inégalité de longueur des membres inférieurs, Lymphoedème.
- Adulte, Complications postopératoires, Dos, Fibula, Fractures du tibia, Fractures ouvertes, Humains, Lambeaux chirurgicaux, Mâle, Méthodes, Transplantation osseuse, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Back, Bone Transplantation, Fibula (injuries), Fibula (surgery), Follow-Up Studies, Fractures, Open (surgery), Humans, Leg Length Inequality (etiology), Lymphedema (etiology), Male, Methods, Muscles (transplantation), Postoperative Complications, Prospective Studies, Surgical Flaps, Tibial Fractures (surgery).
- MESH :
- etiology : Leg Length Inequality, Lymphedema.
- injuries : Fibula.
- surgery : Fibula, Fractures, Open, Tibial Fractures.
- transplantation : Muscles.
- Adult, Back, Bone Transplantation, Follow-Up Studies, Humans, Male, Methods, Postoperative Complications, Prospective Studies, Surgical Flaps.
Abstract
Since no current studies reflect the long-term function of patients accurately categorized and uniformly managed for the same degree and location of tibial injury, seven individuals with type IIIB open distal tibial fractures were studied prospectively for 2 to 4 years after debridement, free-muscle transfer, and delayed autologous bone grafting. Lymphedema, transient drainage, poor ankle motion, limb shortening, nonunion, and delayed union were all significant problems. On average, the patients endured over six operations, 2 months of hospitalization, and a year's course of physical rehabilitation. The study indicates that, although popular, such a regimen is not without important shortcomings. This experience has influenced our selection of and counseling for patients in whom we are contemplating such management.
PubMed: 2642334
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A E Seyfer<affiliation><nlm:affiliation>Department of Surgery, Walter Reed Army Medical Center, Washington, D.C.</nlm:affiliation><wicri:noCountry code="subField">D.C.</wicri:noCountry></affiliation>Le document en format XML
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Lower</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="ISSN">0032-1052</idno><imprint><date when="1989" type="published">1989</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Back</term><term>Bone Transplantation</term><term>Fibula (injuries)</term><term>Fibula (surgery)</term><term>Follow-Up Studies</term><term>Fractures, Open (surgery)</term><term>Humans</term><term>Leg Length Inequality (etiology)</term><term>Lymphedema (etiology)</term><term>Male</term><term>Methods</term><term>Muscles (transplantation)</term><term>Postoperative Complications</term><term>Prospective Studies</term><term>Surgical Flaps</term><term>Tibial Fractures (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Complications postopératoires</term><term>Dos</term><term>Fibula ()</term><term>Fibula (traumatismes)</term><term>Fractures du tibia ()</term><term>Fractures ouvertes ()</term><term>Humains</term><term>Inégalité de longueur des membres inférieurs (étiologie)</term><term>Lambeaux chirurgicaux</term><term>Lymphoedème (étiologie)</term><term>Muscles (transplantation)</term><term>Mâle</term><term>Méthodes</term><term>Transplantation osseuse</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Leg Length Inequality</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Fibula</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Fibula</term><term>Fractures, Open</term><term>Tibial Fractures</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Muscles</term></keywords><keywords scheme="MESH" qualifier="traumatismes" xml:lang="fr"><term>Fibula</term><term>Muscles</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Inégalité de longueur des membres inférieurs</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Back</term><term>Bone Transplantation</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Methods</term><term>Postoperative Complications</term><term>Prospective Studies</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Complications postopératoires</term><term>Dos</term><term>Fibula</term><term>Fractures du tibia</term><term>Fractures ouvertes</term><term>Humains</term><term>Lambeaux chirurgicaux</term><term>Mâle</term><term>Méthodes</term><term>Transplantation osseuse</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since no current studies reflect the long-term function of patients accurately categorized and uniformly managed for the same degree and location of tibial injury, seven individuals with type IIIB open distal tibial fractures were studied prospectively for 2 to 4 years after debridement, free-muscle transfer, and delayed autologous bone grafting. Lymphedema, transient drainage, poor ankle motion, limb shortening, nonunion, and delayed union were all significant problems. On average, the patients endured over six operations, 2 months of hospitalization, and a year's course of physical rehabilitation. The study indicates that, although popular, such a regimen is not without important shortcomings. This experience has influenced our selection of and counseling for patients in whom we are contemplating such management.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">2642334</PMID><DateCreated><Year>1989</Year><Month>01</Month><Day>25</Day></DateCreated><DateCompleted><Year>1989</Year><Month>01</Month><Day>25</Day></DateCompleted><DateRevised><Year>2015</Year><Month>06</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0032-1052</ISSN><JournalIssue CitedMedium="Print"><Volume>83</Volume><Issue>1</Issue><PubDate><Year>1989</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Plastic and reconstructive surgery</Title><ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation></Journal><ArticleTitle>Late results of free-muscle flaps and delayed bone grafting in the secondary treatment of open distal tibial fractures.</ArticleTitle><Pagination><MedlinePgn>77-84</MedlinePgn></Pagination><Abstract><AbstractText>Since no current studies reflect the long-term function of patients accurately categorized and uniformly managed for the same degree and location of tibial injury, seven individuals with type IIIB open distal tibial fractures were studied prospectively for 2 to 4 years after debridement, free-muscle transfer, and delayed autologous bone grafting. Lymphedema, transient drainage, poor ankle motion, limb shortening, nonunion, and delayed union were all significant problems. On average, the patients endured over six operations, 2 months of hospitalization, and a year's course of physical rehabilitation. The study indicates that, although popular, such a regimen is not without important shortcomings. This experience has influenced our selection of and counseling for patients in whom we are contemplating such management.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Seyfer</LastName><ForeName>A E</ForeName><Initials>AE</Initials><AffiliationInfo><Affiliation>Department of Surgery, Walter Reed Army Medical Center, Washington, D.C.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lower</LastName><ForeName>R</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Plast Reconstr Surg</MedlineTA><NlmUniqueID>1306050</NlmUniqueID><ISSNLinking>0032-1052</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001415" MajorTopicYN="N">Back</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016025" MajorTopicYN="Y">Bone Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005360" MajorTopicYN="N">Fibula</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="Y">injuries</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005597" MajorTopicYN="N">Fractures, Open</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007870" MajorTopicYN="N">Leg Length Inequality</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008722" MajorTopicYN="N">Methods</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009132" MajorTopicYN="N">Muscles</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="Y">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013978" MajorTopicYN="N">Tibial Fractures</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1989</Year><Month>1</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1989</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1989</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">2642334</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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