Use of the medial adipofascial flap of the leg for coverage of full-thickness burns exposing the tibial crest
Bone exposure constitutes a frequent and difficult problem in burn patients. Where free flaps remain indicated in tibial osteomyelitis, a pedicled fascial or adipofascial flap provides an excellent alternative for coverage of simple tibial crest exposure. In fact, the adipofascial tissue of the ante...
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| Veröffentlicht in: | Burns 2002-11, Vol.28 (7), p.674-678 |
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| creator | Heymans, O Verhelle, N Peters, S Nélissen, X Oelbrandt, B |
| description | Bone exposure constitutes a frequent and difficult problem in burn patients. Where free flaps remain indicated in tibial osteomyelitis, a pedicled fascial or adipofascial flap provides an excellent alternative for coverage of simple tibial crest exposure. In fact, the adipofascial tissue of the anteromedial aspect of the leg can be mobilized over the whole length of the tibia. It is vascularized by the saphenous artery and the posterior tibial artery perforators. This pattern of blood supply allows a wide range of use for any size of burn defect in this area. Therefore, this local pedicled flap provides an excellent solution for coverage of the exposed tibia after severe burns. |
| doi_str_mv | 10.1016/S0305-4179(02)00097-9 |
| format | Article |
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Where free flaps remain indicated in tibial osteomyelitis, a pedicled fascial or adipofascial flap provides an excellent alternative for coverage of simple tibial crest exposure. In fact, the adipofascial tissue of the anteromedial aspect of the leg can be mobilized over the whole length of the tibia. It is vascularized by the saphenous artery and the posterior tibial artery perforators. This pattern of blood supply allows a wide range of use for any size of burn defect in this area. Therefore, this local pedicled flap provides an excellent solution for coverage of the exposed tibia after severe burns.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/S0305-4179(02)00097-9</identifier><identifier>PMID: 12417164</identifier><identifier>CODEN: BURND8</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adipofascial flap ; Biological and medical sciences ; Burn ; Burns ; Burns - surgery ; Follow-Up Studies ; Humans ; Leg - anatomy & histology ; Leg - blood supply ; Leg Injuries - surgery ; Male ; Medical sciences ; Middle Aged ; Perforator ; Reconstructive Surgical Procedures - methods ; Skin plastic surgery ; Skin Transplantation - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps - blood supply ; Tibia ; Traumas. 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Where free flaps remain indicated in tibial osteomyelitis, a pedicled fascial or adipofascial flap provides an excellent alternative for coverage of simple tibial crest exposure. In fact, the adipofascial tissue of the anteromedial aspect of the leg can be mobilized over the whole length of the tibia. It is vascularized by the saphenous artery and the posterior tibial artery perforators. This pattern of blood supply allows a wide range of use for any size of burn defect in this area. Therefore, this local pedicled flap provides an excellent solution for coverage of the exposed tibia after severe burns.</description><subject>Adipofascial flap</subject><subject>Biological and medical sciences</subject><subject>Burn</subject><subject>Burns</subject><subject>Burns - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Leg - anatomy & histology</subject><subject>Leg - blood supply</subject><subject>Leg Injuries - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Perforator</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Skin plastic surgery</subject><subject>Skin Transplantation - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps - blood supply</subject><subject>Tibia</subject><subject>Traumas. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps - blood supply</topic><topic>Tibia</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heymans, O</creatorcontrib><creatorcontrib>Verhelle, N</creatorcontrib><creatorcontrib>Peters, S</creatorcontrib><creatorcontrib>Nélissen, X</creatorcontrib><creatorcontrib>Oelbrandt, B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heymans, O</au><au>Verhelle, N</au><au>Peters, S</au><au>Nélissen, X</au><au>Oelbrandt, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of the medial adipofascial flap of the leg for coverage of full-thickness burns exposing the tibial crest</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2002-11-01</date><risdate>2002</risdate><volume>28</volume><issue>7</issue><spage>674</spage><epage>678</epage><pages>674-678</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><coden>BURND8</coden><abstract>Bone exposure constitutes a frequent and difficult problem in burn patients. Where free flaps remain indicated in tibial osteomyelitis, a pedicled fascial or adipofascial flap provides an excellent alternative for coverage of simple tibial crest exposure. In fact, the adipofascial tissue of the anteromedial aspect of the leg can be mobilized over the whole length of the tibia. It is vascularized by the saphenous artery and the posterior tibial artery perforators. This pattern of blood supply allows a wide range of use for any size of burn defect in this area. Therefore, this local pedicled flap provides an excellent solution for coverage of the exposed tibia after severe burns.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>12417164</pmid><doi>10.1016/S0305-4179(02)00097-9</doi><tpages>5</tpages></addata></record> |
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| ispartof | Burns, 2002-11, Vol.28 (7), p.674-678 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adipofascial flap Biological and medical sciences Burn Burns Burns - surgery Follow-Up Studies Humans Leg - anatomy & histology Leg - blood supply Leg Injuries - surgery Male Medical sciences Middle Aged Perforator Reconstructive Surgical Procedures - methods Skin plastic surgery Skin Transplantation - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - blood supply Tibia Traumas. Diseases due to physical agents |
| title | Use of the medial adipofascial flap of the leg for coverage of full-thickness burns exposing the tibial crest |
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