Free tissue transfer for Type III tibial fractures

Microsurgery in 19 cases

Astor Reigstad National Orthopedic Center, Kronprinsesse Märthas Institutt, N-0570 Oslo, Norway, Tel +47-2 95 43 00, Fax -2 37 854

Karl R. Hetland National Orthopedic Center, Kronprinsesse Märthas Institutt, N-0570 Oslo, Norway, Tel +47-2 95 43 00, Fax -2 37 854

Kjell Bye National Orthopedic Center, Kronprinsesse Märthas Institutt, N-0570 Oslo, Norway, Tel +47-2 95 43 00, Fax -2 37 854

Svein Waage National Orthopedic Center, Kronprinsesse Märthas Institutt, N-0570 Oslo, Norway, Tel +47-2 95 43 00, Fax -2 37 854

Magne Røkkum National Orthopedic Center, Kronprinsesse Märthas Institutt, N-0570 Oslo, Norway, Tel +47-2 95 43 00, Fax -2 37 854

Torstein Husby National Orthopedic Center, Kronprinsesse Märthas Institutt, N-0570 Oslo, Norway, Tel +47-2 95 43 00, Fax -2 37 854

Abstract

We report 19 tibial fractures Types III B and C treated by free flaps. The fracture healed in 16 cases after 12 (3-54) months. In 3 cases a secondary amputation was carried out. Tibial malalignment or substantial shortening ensued in 1 case each. We conclude that coverage with free flaps, radical removal of dead bone, stable external fixation and transfer of vascularized bone may salvage the majority of Type III B and C tibial fracture with function superior to that after amputation.

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Free tissue transfer for Type III tibial fractures

Microsurgery in 19 cases

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Free tissue transfer for Type III tibial fractures

Microsurgery in 19 cases

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