Microsurgical tissue autotransplantation in the treatment of open limb fractures
Background. There is now only one method for replacement of virtually any integumentary defects differing in extent, which satisfies all the requirements of primary plastic repair – microsurgical autotransplantation of tissue units on a vascular pedicle. Primary plastic repair by microsurgical autot...
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| Format: | Article |
| Language: | English |
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N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department
2018-08-01
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| Series: | Трансплантология (Москва) |
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| Online Access: | https://www.jtransplantologiya.ru/jour/article/view/290 |
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| author | E. Yu. Shibayev P. A. Ivanov D. A. Kisel |
| author_facet | E. Yu. Shibayev P. A. Ivanov D. A. Kisel |
| author_sort | E. Yu. Shibayev |
| collection | DOAJ |
| description | Background. There is now only one method for replacement of virtually any integumentary defects differing in extent, which satisfies all the requirements of primary plastic repair – microsurgical autotransplantation of tissue units on a vascular pedicle. Primary plastic repair by microsurgical autotransplantation makes it possible not only to perform adequate reconstructive manipulations of an injured limb, but also to create the optimal conditions for delayed surgical interventions.Materials and methods. Since 2000, the N.V. Sklifosovsky Research Institute of Emergency Care has been performing autotransplantation of vascularized tissue units to cover soft tissue defects. For this time, 57 flaps have been grafted in 57 patients with open limb bone fractures. For closure of soft tissue defects, the authors have successfully applied free autografts comprising the muscles and skin.Results and discussion. Out of the 57 primary microsurgical autotransplantations of tissue flaps, only 4 cases required emergency intervention; the others needed delayed one. To close soft tissue defects, the authors successfully applied free autografts comprising the muscles and skin. All the transplanted autografts got implanted completely.Conclusion. The used procedure furnishes a means of minimizing donor site damage and ultimately improves both functional and aesthetic surgical results. The authors’ experience permits one to recommend a more active introduction of microsurgical plastic methods into clinical practice. |
| format | Article |
| id | doaj-art-2ff20dd422f849d7b17a68bc89ad310d |
| institution | DOAJ |
| issn | 2074-0506 2542-0909 |
| language | English |
| publishDate | 2018-08-01 |
| publisher | N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department |
| record_format | Article |
| series | Трансплантология (Москва) |
| spelling | doaj-art-2ff20dd422f849d7b17a68bc89ad310d2025-08-20T03:18:19ZengN.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare DepartmentТрансплантология (Москва)2074-05062542-09092018-08-0103-4232610.23873/2074-0506-2010-0-3-4-23-26279Microsurgical tissue autotransplantation in the treatment of open limb fracturesE. Yu. Shibayev0P. A. Ivanov1D. A. Kisel2N.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareBackground. There is now only one method for replacement of virtually any integumentary defects differing in extent, which satisfies all the requirements of primary plastic repair – microsurgical autotransplantation of tissue units on a vascular pedicle. Primary plastic repair by microsurgical autotransplantation makes it possible not only to perform adequate reconstructive manipulations of an injured limb, but also to create the optimal conditions for delayed surgical interventions.Materials and methods. Since 2000, the N.V. Sklifosovsky Research Institute of Emergency Care has been performing autotransplantation of vascularized tissue units to cover soft tissue defects. For this time, 57 flaps have been grafted in 57 patients with open limb bone fractures. For closure of soft tissue defects, the authors have successfully applied free autografts comprising the muscles and skin.Results and discussion. Out of the 57 primary microsurgical autotransplantations of tissue flaps, only 4 cases required emergency intervention; the others needed delayed one. To close soft tissue defects, the authors successfully applied free autografts comprising the muscles and skin. All the transplanted autografts got implanted completely.Conclusion. The used procedure furnishes a means of minimizing donor site damage and ultimately improves both functional and aesthetic surgical results. The authors’ experience permits one to recommend a more active introduction of microsurgical plastic methods into clinical practice.https://www.jtransplantologiya.ru/jour/article/view/290limb tissue defectsmicrosurgical tissue autotransplantationopen limb fracture |
| spellingShingle | E. Yu. Shibayev P. A. Ivanov D. A. Kisel Microsurgical tissue autotransplantation in the treatment of open limb fractures Трансплантология (Москва) limb tissue defects microsurgical tissue autotransplantation open limb fracture |
| title | Microsurgical tissue autotransplantation in the treatment of open limb fractures |
| title_full | Microsurgical tissue autotransplantation in the treatment of open limb fractures |
| title_fullStr | Microsurgical tissue autotransplantation in the treatment of open limb fractures |
| title_full_unstemmed | Microsurgical tissue autotransplantation in the treatment of open limb fractures |
| title_short | Microsurgical tissue autotransplantation in the treatment of open limb fractures |
| title_sort | microsurgical tissue autotransplantation in the treatment of open limb fractures |
| topic | limb tissue defects microsurgical tissue autotransplantation open limb fracture |
| url | https://www.jtransplantologiya.ru/jour/article/view/290 |
| work_keys_str_mv | AT eyushibayev microsurgicaltissueautotransplantationinthetreatmentofopenlimbfractures AT paivanov microsurgicaltissueautotransplantationinthetreatmentofopenlimbfractures AT dakisel microsurgicaltissueautotransplantationinthetreatmentofopenlimbfractures |