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Soft Tissue Coverage at the Resource-challenged Facility

  • Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World
  • Published:
Clinical Orthopaedics and Related Research

Abstract

Covering soft tissue defects remains challenging for orthopaedic surgeons, especially those in resource-challenged facilities. Covering tissue defects follow a plan from simple to complex: primary closure, local flap, area flap, pedicle flap, and free flap. I will limit my discussion to the role of latter two. At the district-level hospital in Vietnam, pedicle flaps are generally more useful, so I will discuss free flaps only briefly. The choices of pedicle flaps include: kite flap, posterior interosseous flap, radial flap (Chinese flap), neurocutaneous flap, anterolateral thigh fasciocutaneous flap, gastrocnemius flap, sural flap, posterior leg flaps; we typically use a free flap with the latissimus dorsi. Soft tissue coverage with pedicle flaps has many advantages: reliability, relatively easy harvest, and good blood supply. Free flaps with microanastomosis have an important place in covering difficult medium- or large-sized soft tissue defects but also require more instruments and more highly trained surgeons.

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Acknowledgments

I thank Pr. Nguyen Quang Long, Dr. Luong Dinh Lam, Dr. Nguyen Vinh Thong, and my colleagues at Cho Ray hospital who kindly helped me in doing clinical cases.

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Authors and Affiliations

  1. Department of Plastic and Cosmetic Surgery, University Medical Center, 215 Hong Bang St., 5th District, Ho Chi Minh City, Vietnam

    Tuan Anh Nguyen MD, PhD

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  1. Tuan Anh Nguyen MD, PhD
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Correspondence to Tuan Anh Nguyen MD, PhD.

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The author certifies that he/she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

The author certifies that his/her institution does not require approval for the human protocol for this investigation and that the investigation was conducted in conformity with ethical principles of research.

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Nguyen, T.A. Soft Tissue Coverage at the Resource-challenged Facility. Clin Orthop Relat Res 466, 2451–2456 (2008). https://doi.org/10.1007/s11999-008-0386-1

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  • DOI: https://doi.org/10.1007/s11999-008-0386-1

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