ORIGINAL ARTICLE
Year : 2017  |  Volume : 13  |  Issue : 1  |  Page : 8-11

Reconstruction of lower limb traumatic soft tissue defects in Togo


Departement of Traumatology Orthopedic and Reconstructive Surgery, University of Lome, Lome, Togo

Correspondence Address:
Komla S Amouzou
Department of Traumatology Orthopedic and Reconstructive Surgery, Mix Faculty of Medicine and Pharmacy, University of Lome, Lome 02BP20752
Togo
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njps.njps_23_16

Rights and Permissions

Background: The management of lower limb soft tissue defects is still a challenge in our setting. Aims: This study aimed to review the clinical and socio-demographic characteristics of the patients with traumatic lower limbs defect and evaluate the results of surgical management in our setting. Settings and Design: Retrospective descriptive study. Materials and Methods: The charts of 30 adults patients treated surgically for lower limb soft tissue defects in the period from 1 January to 31 December 2014 were reviewed. Socio-demographic, clinical and therapeutic characteristics were documented. Statistical Analysis Used: The results were as general descriptive statistics, presented as medians, percentages and ranges. Results: The mean age was 34 years (range 18–60 years). The sex ratio was 3.28 for men. In 83% of the cases (20/30), injuries were due to collision between motorcycle and other vehicles. Soft tissue defects were type III B (50%, 15/30) and III A (47%, 14/30) of Gustilo-Anderson classification. The mean time between injury and reconstructive surgery was 48 days (range 14–118 days). Reconstruction techniques were mostly split skin graft (53%, 16/30) and neuro-sural distal pedicled flaps (20%, 6/30). Five cases of persistent osteomyelitis were observed. Conclusion: The non-availability of microsurgery limited our practice to regional and local flaps that gave good results and protected bone fractures that mainly healed in acceptable time.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed65    
    Printed5    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal