Transplantation Treatment of Extensive Soft-Tissue Defects in Lower Extremities with a Combination of Cross-Bridge Flap and Combined Free-Tissue Flap Covered by Vacuum Sealing Drainage: One Case Report



Xiaohua Pan1, Guangyao Wang2, *, Tun Hing Lui3
1 Department of orthopedic and traumatology, Shenzhen BaoAn People Hospital affiliated Southern Medical University, Shenzhen, Guangdong 518101, People’s Republic of China
2 Department of orthopedic and traumatology, Panyu District hospital of traditional Chinese medicine, Guangzhou, Guangdong 510515,People’s Republic of China
3 Department of Orthopaedic and Traumatology, North District hospital, Sheung Shui, Hong Kong


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© 2017 Pan et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of orthopedic and traumatology, Panyu District hospital of traditional Chinese medicine, Guangzhou, Guangdong 510515, People’s Republic of China, Tel: +86 13808802694; E-mail: szpxh4141@163.net


Abstract

This article reported the ultilization of cross-bridge flap transplantation and combined free-tissue flap transplantation to treat a 54-year-old male with Gustilo type III-C injuries. Thorough debridement, external fixation and vacuum sealing drainage were performed in the fist-stage treatment. After the removal of negative pressure on VSD devices, the joined free-tissue flaps and the cross-bridge flap were performed to repair the extensive soft-tissue defects. One month later the pedicle of cross-bridge flap was divided and the external fixator connecting both the lower legs was removed. In 3-month follow-up, the extensive defects was completely covered by a nearly normal skin and radiograph showed tibia and talus healing.

Keywords: Vacuum sealing drainage, Soft tissue defect, Cross leg flap, Free tissue flap, Transplantation, Combined fracture, Tibia.