Microvascular soft-tissue transplantation for reconstruction of acute open tibial fractures: timing of coverage and long-term functional results.

@article{Francel1992MicrovascularST,
  title={Microvascular soft-tissue transplantation for reconstruction of acute open tibial fractures: timing of coverage and long-term functional results.},
  author={Thomas J Francel and Craig A Vander Kolk and J E Hoopes and Paul N. Manson and Michael J. Yaremchuk},
  journal={Plastic and reconstructive surgery},
  year={1992},
  volume={89 3},
  pages={478-87; discussion 488-9}
}
Seventy-two patients with Gustilo grade IIIB open tibial fractures were treated with free-tissue transfers. If successful free-tissue transfer for soft-tissue reconstruction is performed within 15 days of injury, the risk of major complications is 3.6 percent. Long-term retrospective follow-up (mean 42 months) revealed successful limb salvage in 93 percent, good aesthetic results in 80 percent, and patient satisfaction in 96 percent. However, 66 percent of patients exhibited significantly… CONTINUE READING