9 patients (male: 7, ages of 14-73 suffered from the soft tissue defect in the leg received the plastic reconstruction by transferring latissimus dorsal free muscle flaps in the central army hospital 108 during 1991-1997. The results have shown that all latissimus dorsal free muscle flaps were living; the incisions were in the first stage. After 3-68 months of plastic surgery, the soft tissue defects were stable and there is no relapsed ostitis or infection.
Soft Tissue Injuries

33 cases of posterior inter-osseous island flaps with reverse flow were done at the Reconstructive Microsurgery Department, Center for Trauma and Orthopedics of Ho Chi Minh City from January 1997 to September 1998. These flap transfers were used to cover small skin and soft tissue defects of wrist, hand thumb and MP Joint areas. The total surface of the island flap is from 32-60 cm2, the pedicle length is from 08-12cm. The survival rate was 94%, the graft skin was supplied, with very little fibrous and contractile scar. There was no sensibility except 03 were gradually recovered up to S1-S2. The conveniences of this procedure were acceptable: easy to perform, unnecessary to scarify a main artery and the survival rate of the flap is high. This island flap is always suitable to relapse the Chinese island flap in some indications.
Skin ; Soft Tissue Injuries

12 cases that were treated successfully by microsurgery in the Department of Plastic Surgery, Military Hospital 108 are involved in study. At time of operation, there were 7 cases with sub-acute infection and 3 cases with chronic infection. The scapular flaps used in procedure had not sense nerves. However, the flaps met requirements of treatment for large skin missing in sole of foot. This procedure is performed when there are not indications of conventional therapeutic methods or island and sub-island vascular stem flaps.
Surgical Flaps ; Soft Tissue Injuries

Vascularized sural flap with distal pedicle is using for covering of soft tissue defect of the heel-ankle region, when there are no impossibility for the internal plantar flap. With the application on 9 patients, we have the incidence of : -Excellent result: 7- Good result: 2. We hope that we could have good appreciation in future after we have worked on many patients
Surgical Flaps ; Soft Tissue Injuries

Distal pedicle fasciocutaneous flap has good survival due to it is designed based on blood supply from consistent vascular pedicle. Blood perfusion is excellent in all 8 flaps. Leg cosmetic was not affected. The surgical procedure involves only one stage and is easy to use widely. The procedure appears have superiors and can overcome disadvantages of adjacent regional flaps
Surgical Flaps ; Soft Tissue Injuries

The tibial pilon fracture has been described as difficult fracture to manage. We have reviewed 23 cases of tibial pilon fractures from Mar. 1987 to Feb. 1993 at our hospital. 1. The fractures were classified into five types according to the system of Ovadia and Beals and the methods of treatment were divided into two groups; 9 cases were treated with Ilizarov device(Group I). 6 cases out of Group I were type 3, 4 and 5. Other methods were performed in 14 cases(Group II). 8 cases out of Group II were type 3, 4, and 5. 2. In type 3, 4 and 5 fractures, there were 86 per cent good and fair radiographic results in Group I and 63 per cent good and fair results in Group II. 3. Satisfactory results were obtained by the treatment of Ilizarov method especially in type 3, 4 and 5 fractures. The advantages of Ilizarov device were its primary reduction with ligamentotaxis, easy open reduction due to proximal and distal stabilization, minimal soft tissue injury and minimal internal fixation.
Ilizarov Technique ; Soft Tissue Injuries

No abstract available.
Disability Evaluation* ; Soft Tissue Injuries* ; Spine*

We retrospectively analyzed 22 patients pelvic CT, in whom the acetabular fracture were suspected in plain film. And compared and analyzed the computed tomogram findings and plain radiographic findings. The results were as follows. CT enables better evaluation of shape, extent, and degree of separation of fragment. CT was helpful in detecting the combined fracture and soft tissue injuries. CT showed intraarticular loose bodies, which were invisible on plain film. In patients with pelvic trauma, no necessary changing position during CT examination. CT was useful demonstrates the remnant of intraarticular osseous fragment and adequacy of reduction after surgery.
Acetabulum* ; Humans ; Retrospective Studies ; Soft Tissue Injuries

The tibial pilon fracture has been described as difficult fracture to manage. We have reviewed 23 cases of tibial pilon fractures from Mar. 1987 to Feb. 1993 at our hospital. 1. The fractures were classified into five types according to the system of Ovadia and Beals and the methods of treatment were divided into two groups; 9 cases were treated with Ilizarov device(Group I). 6 cases out of Group I were type 3, 4 and 5. Other methods were performed in 14 cases(Group II). 8 cases out of Group II were type 3, 4, and 5. 2. In type 3, 4 and 5 fractures, there were 86 per cent good and fair radiographic results in Group I and 63 per cent good and fair results in Group II. 3. Satisfactory results were obtained by the treatment of Ilizarov method especially in type 3, 4 and 5 fractures. The advantages of Ilizarov device were its primary reduction with ligamentotaxis, easy open reduction due to proximal and distal stabilization, minimal soft tissue injury and minimal internal fixation.
Ilizarov Technique ; Methods ; Soft Tissue Injuries

No abstract available.
Free Tissue Flaps* ; Lower Extremity* ; Soft Tissue Injuries*