Limb salvage for Gustilo III C open fracture of left humerus with limb ischemia and wound infection by microsurgery: A case report

VernacularTitle:左肱骨Gustilo III C型开放性骨折术后创面感染及肢体缺血显微外科治疗一例
Author: Jiantao YANG ; Canbin ZHENG ; Ben’gang QIN ; Honggang WANG ; Ping LI ; Liqiang GU ; Jian QI ; Qingtang ZHU
From: Chinese Journal of Microsurgery 2021;44(2):223-225
CountryChina
Language:Chinese
Abstract: Report a case sustained Gustilo type III C open fracture of the left humerus with brachial artery injury who has limb ischemia and wound infection after operation in June, 2014. To salvage the limb, performed cross limb vessel transfer to restore blood supply at one-stage. After multiple debridement, Flow-through flap transfer was performed for definitive reconstruction of the arterial injury and repair the wound in secondary stage. In the 3rd stage, cutting the pedicle of transposition vessels. Follow-up at 1 year after surgery, the patient's left upper limb had survived with limited movement and confirmed Flow-through the vessel reconstruction using CTA.