Use of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services

Background: Soft tissue cover after surgical debridement, skeletal stabilization is an integral part of optimal management of high-velocity orthopedic injuries and orthopedic infections which is preferably done in collaboration with plastic surgeons. In our peripheral hospital, since plastic surgery...

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Autores principales:	Bhim Bahadur Shreemal, Tul Bahadur Pun, Dipak Maharjan, Devendra Singh Bhat
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	comprehensive care of soft-tissue defects flaps by orthopedic surgeons local flaps in orthopedic trauma Medicine R Nursing RT1-120
Acceso en línea:	https://doaj.org/article/a6d9bd665bc64ff096908a23ebd19cce
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spelling	oai:doaj.org-article:a6d9bd665bc64ff096908a23ebd19cce2021-11-12T10:09:47ZUse of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services2348-33342348-506X10.4103/cjhr.cjhr_113_19https://doaj.org/article/a6d9bd665bc64ff096908a23ebd19cce2021-01-01T00:00:00Zhttp://www.cjhr.org/article.asp?issn=2348-3334;year=2021;volume=8;issue=2;spage=117;epage=124;aulast=Shreemalhttps://doaj.org/toc/2348-3334https://doaj.org/toc/2348-506XBackground: Soft tissue cover after surgical debridement, skeletal stabilization is an integral part of optimal management of high-velocity orthopedic injuries and orthopedic infections which is preferably done in collaboration with plastic surgeons. In our peripheral hospital, since plastic surgery service is not available, it has been our practice as orthopedic surgeons to be involved in the comprehensive surgical care of such patients including flap cover of the resulting soft-tissue defect. We reviewed the results of our flaps from June 2013 to May 2015 which were exclusively done by orthopedic surgeons. Materials and Methods: All patients from June 2013 to May 2015 with an open fracture or orthopedic infections who underwent flap cover of any kind in both the upper and lower limbs were retrospectively reviewed. Results: We had thirty-eight flaps in 36 patients. Two were lost to follow-up. There were eight (22.22%) upper limb flaps and 28 (77.77%) lower limb flaps. Average follow-up was 3 months (6 weeks–12 months). The average age was 35 years (17 years–65 years). Ten (27.7%) of the patients had flap done for infection and the rest 26 (72.2%) for an open fracture. The dimension of the flap ranged from 1 cm × 1 cm to 15 cm × 16 cm. Thirty-one out of thirty-six (83.33%) of the flaps healed primarily. Six (16.66%) patients had minor complications. There was no total flap loss. Conclusion: Comprehensive care of soft-tissue defects by orthopedic surgeons themselves seem to be a viable option with good outcome and acceptable complications in orthopedic trauma and infections when plastic surgery service in not available.Bhim Bahadur ShreemalTul Bahadur PunDipak MaharjanDevendra Singh BhatWolters Kluwer Medknow Publicationsarticle comprehensive care of soft-tissue defectsflaps by orthopedic surgeonslocal flaps in orthopedic trauma MedicineRNursingRT1-120ENCHRISMED Journal of Health and Research, Vol 8, Iss 2, Pp 117-124 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	comprehensive care of soft-tissue defects flaps by orthopedic surgeons local flaps in orthopedic trauma Medicine R Nursing RT1-120
spellingShingle	comprehensive care of soft-tissue defects flaps by orthopedic surgeons local flaps in orthopedic trauma Medicine R Nursing RT1-120 Bhim Bahadur Shreemal Tul Bahadur Pun Dipak Maharjan Devendra Singh Bhat Use of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services
description	Background: Soft tissue cover after surgical debridement, skeletal stabilization is an integral part of optimal management of high-velocity orthopedic injuries and orthopedic infections which is preferably done in collaboration with plastic surgeons. In our peripheral hospital, since plastic surgery service is not available, it has been our practice as orthopedic surgeons to be involved in the comprehensive surgical care of such patients including flap cover of the resulting soft-tissue defect. We reviewed the results of our flaps from June 2013 to May 2015 which were exclusively done by orthopedic surgeons. Materials and Methods: All patients from June 2013 to May 2015 with an open fracture or orthopedic infections who underwent flap cover of any kind in both the upper and lower limbs were retrospectively reviewed. Results: We had thirty-eight flaps in 36 patients. Two were lost to follow-up. There were eight (22.22%) upper limb flaps and 28 (77.77%) lower limb flaps. Average follow-up was 3 months (6 weeks–12 months). The average age was 35 years (17 years–65 years). Ten (27.7%) of the patients had flap done for infection and the rest 26 (72.2%) for an open fracture. The dimension of the flap ranged from 1 cm × 1 cm to 15 cm × 16 cm. Thirty-one out of thirty-six (83.33%) of the flaps healed primarily. Six (16.66%) patients had minor complications. There was no total flap loss. Conclusion: Comprehensive care of soft-tissue defects by orthopedic surgeons themselves seem to be a viable option with good outcome and acceptable complications in orthopedic trauma and infections when plastic surgery service in not available.
format	article
author	Bhim Bahadur Shreemal Tul Bahadur Pun Dipak Maharjan Devendra Singh Bhat
author_facet	Bhim Bahadur Shreemal Tul Bahadur Pun Dipak Maharjan Devendra Singh Bhat
author_sort	Bhim Bahadur Shreemal
title	Use of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services
title_short	Use of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services
title_full	Use of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services
title_fullStr	Use of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services
title_full_unstemmed	Use of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services
title_sort	use of flaps in orthopedics in a peripheral trauma center in nepal without plastic surgery services
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/a6d9bd665bc64ff096908a23ebd19cce
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_version_	1718431069866295296

Use of flaps in orthopedics in a peripheral trauma center in Nepal without plastic surgery services

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