SOFT TISSUES COVERAGE IN GUSTILO ANDERSON III B LEG FRACTURES WITH KEYSTONE FLAP: CASE REPORT

Authors

  • Mathias Raffo Hospital de Clínicas Dr. Manuel Quintela
  • Fraga Liber Hospital de Clínicas Dr. Manuel Quintela
  • Daniel Wolff Hospital Pasteur
  • Denisse Hartwig Hospital de Clínicas Dr. Manuel Quintela
  • Oscar Jacobo Hospital de Clínicas Dr. Manuel Quintela

Keywords:

Keystone flap, Gustilo-Anderson fracture, Reconstructive surgical procedures

Abstract

The study presents different clinical cases with a diagnosis of a Gustilo-Anderson III B type leg fracture, with defects in planes of moderate dimensions, and exposure of bone, osteosynthesis material or both, which were treated with a Keystone-type flap. Methodologically, it is a case report; descriptive, observational, retrospective. Three patients were studied, with an average age of 53 years. The status of the perforators was assessed with portable arterial Doppler. Type II A Keystone flap was performed in the reported cases. Complete closure of the defect that was intended to be covered, and primary closure of the donor area were obtained; short operative time without major complications. We conclude that the Keystone flap may be an appropriate option in terms of its design, with good vascular supply, short duration of surgical time, minimal donor site morbidity, little postoperative pain, rapid recovery, and good cosmetic results.

Author Biographies

  • Mathias Raffo, Hospital de Clínicas Dr. Manuel Quintela

    Residente de Cirurgia Plástica Reparadora e Estética. Hospital de Clínicas Dr. Manuel Quintela. Montevidéu- Uruguai.

  • Fraga Liber , Hospital de Clínicas Dr. Manuel Quintela

    Asistente de Cátedra de Cirurgia Plástica Reparadora e Estética. Hospital de Clínicas Dr. Manuel Quintela. Montevidéu- Uruguai.

  • Daniel Wolff, Hospital Pasteur

    Doutor Cirurgião Plástico, Reparador e Estético; Serviço de Cirurgia Plástica e Microcirurgia Hospital Pasteur. Montevidéu- Uruguai.

  • Denisse Hartwig , Hospital de Clínicas Dr. Manuel Quintela

    Professora Adjunta Cátedra de Cirurgia Plástica Reparadora e Estética. Hospital de Clínicas Dr. Manuel Quintela. Montevidéu - Uruguai.

  • Oscar Jacobo, Hospital de Clínicas Dr. Manuel Quintela

    Professor Titular. Cátedra de Cirurgia Plástica Reparadora e Estética. Hospital de Clínicas Dr. Manuel Quintela. Montevidéu - Uruguai.

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Published

2022-04-28

How to Cite

SOFT TISSUES COVERAGE IN GUSTILO ANDERSON III B LEG FRACTURES WITH KEYSTONE FLAP: CASE REPORT. (2022). Arquivos Catarinenses De Medicina, 51(1), 27-36. https://revista.acm.org.br/arquivos/article/view/1178

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