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Early Reconstructions of Complex Lower Extremity Battlefield Soft Tissue Wounds
Ali Ebrahimi , Nasrin Nejadsarvari, Azin Ebrahimi, Hamid Reza rasouli
MD,plastic surgeon Department of Plastic Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
Abstract:   (115 Views)
BACKGROUND
Severe lower extremity trauma as a devastating combat related injury is on the rise and this presents reconstructive surgeons with significant challenges to reach optimal cosmetic and functional outcomes. This study assessed early reconstructions of complex lower extremity battlefield soft tissue wounds.
METHODS
 This was a prospective case series study of battled field injured patients which was done in the Department of Plastic Surgery, Baqiyatallah University of Medical Sciences hospitals, Tehran, Iran between 2013-2015. In this survey, 73 patients were operated for reconstruction of lower extremity soft tissue defects due to battlefield injuries
RESULTS
Seventy-three patients (65 men, 8 womens) ranging from 21-48 years old (mean: 35 years) were enrolled. Our study showed that early debridement and bone stabilization and later coverage  of complex battlefields soft tissue wounds with suitable flaps and grafts of lower extremity were effective method for difficult wounds managements with less amputation and infections.
CONCLUSION
Serial debridement and bone stabilization before early soft tissue reconstruction according to reconstructive ladder were shown to be essential steps. 
Keywords: Wound, Lower extremity, Surgical flaps, Trauma, Battlefield, Soft tissue
Full-Text [PDF 5177 kb]   (38 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2016/04/8 | Accepted: 2017/09/1 | Published: 2017/09/10
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Ebrahimi A, Nejadsarvari N, Ebrahimi A, rasouli H R. Early Reconstructions of Complex Lower Extremity Battlefield Soft Tissue Wounds. wjps. 2017; 6 (3)
URL: http://wjps.ir/article-1-236-en.html
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مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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