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Soft Tissue Coverage in Complex Fractures of the Limbs

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Complex Fractures of the Limbs

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Abstract

Complex fractures of the limbs pose a clinical challenge for the multidisciplinary team that needs to treat them. The current advances in soft tissue flap reconstruction techniques have significantly improved the results of the limb salvage attempts. Understanding the reconstructive concepts of zone of injury, aggressive debridement and timing and the possibilities of flap coverage is essential to complete limb salvage in a timely and appropriate fashion. Complex extremity injury requires immediate and specialised attention via an interdisciplinary approach. The steps in surgical management include radical tissue debridement, adequate stabilisation and reconstruction of viable structures by the use of autologous blood vessels or nerve grafts and bone and soft tissue reconstructions with a “custom-fit” flap. Generally all of them must be done in a unique surgery. These are the most powerful tools for infection control and to get the best results.

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, La Paz University Hospital-IdiPaz, Paseo de la Castellana 261, Madrid, 28046, Spain

    Carmen Iglesias-Urraca

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  1. Carmen Iglesias-Urraca
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Correspondence to Carmen Iglesias-Urraca .

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Editors and Affiliations

  1. La Paz University Hospital, Madrid, Spain

    E. Carlos Rodríguez-Merchán

  2. La Paz University Hospital, Madrid, Spain

    Juan Carlos Rubio-Suárez

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Iglesias-Urraca, C. (2014). Soft Tissue Coverage in Complex Fractures of the Limbs. In: Rodríguez-Merchán, E., Rubio-Suárez, J. (eds) Complex Fractures of the Limbs. Springer, Cham. https://doi.org/10.1007/978-3-319-04441-5_12

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  • DOI: https://doi.org/10.1007/978-3-319-04441-5_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-04440-8

  • Online ISBN: 978-3-319-04441-5

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