MODIFIED AUTOGENOUS GRAFTING AND TURNING SKIN FLAPS TO COVER GRANULATING SURFACES

Skin grafting by cross-leg flaps.

Destruction of the skin and subcutaneous tissues of the lower limb is often associated with injury to underyling tendons or bone. Sometimes the skin lesions are allowed to heal by granulation, or they are closed more rapidly by the application of split-skin grafts, and the results of such treatment may be entirely satisfactory. But healing by granulation often leads to chronic ulceration, and h...

Stepwise surgical approach to diabetic partial foot amputations with autogenous split thickness skin grafting

In the surgical treatment of severe diabetic foot infections, substantial soft tissue loss often accompanies partial foot amputations. These sizeable soft tissue defects require extensive care with the goal of expedited closure to inhibit further infection and to provide resilient surfaces capable of withstanding long-term ambulation. Definitive wound closure management in the diabetic populati...

Skin Grafts and Flaps (compromised)

Rationale Hyperbaric oxygen (HBO2) therapy is neither necessary nor recommended for the support of normal, uncompromised skin grafts or flaps. However, in tissue compromised by irradiation or in other cases where there is decreased perfusion or hypoxia, HBO2 has been shown to be extremely useful in flap salvage. Hyperbaric oxygen can help maximize the viability of the compromised tissue thereby...

Skin-Grafting

Use of local muscle flaps to cover leg bone exposures.

OBJECTIVE To evaluate the use of the medial gastrocnemius muscle and/or soleus muscle flaps as surgical treatment of the leg bone exposure. METHODS We retrospectively analyzed the medical records of patients undergoing transposition of the medial gastrocnemius and / or soleus for treating exposed bone in the leg, from January 1976 to July 2009, gathering information on epidemiological data, t...