Late results of free-muscle flaps and delayed bone grafting in the secondary treatment of open distal tibial fractures

Alan E. Seyfer, Raymond Lower, Alan E. Seyfer

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Since no current studies reflect the long-term function of patients accurately categorized and uniformly managed for the same degree and location of tibial injury, seven individuals with type IIIB open distal tibial fractures were studied prospectively for 2 to 4 years after debridement, free-muscle transfer, and delayed autologous bone grafting. Lymphedema, transient drainage, poor ankle motion, limb shortening, nonunion, and delayed union were all significant problems. On average, the patients endured over six operations, 2 months of hospitalization, and a year’s course of physical rehabilitation. The study indicates that, although popular, such a regimen is not without important shortcomings. This experience has influenced our selection of and counseling for patients in whom we are contemplating such management.

Original languageEnglish (US)
Pages (from-to)77-82
Number of pages6
JournalPlastic and reconstructive surgery
Volume83
Issue number1
DOIs
StatePublished - Jan 1989
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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