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- Title
DEFINITIVE SURGERY FOR COMPLEX EXTREMITIES INJURIES-WHERE ARE WE?
- Authors
W. S., Azman; A. S., Halim; A. A., Dorai; W., Zulmi; Faisham, W.
- Abstract
PURPOSE : Traumas to the extremities are extremely common. The management of complex limbs injury has progressed rapidly. Delays in the treatment are causing poor healing process, prolong hospital stay and increased cost of the treatment. The role of the tissue transfer has contributed tremendously in the management of severely injured extremities. The objective of this retrospective review is to determine our achievement in definitive treatment for complex extremities injury in comparison with established centre worldwide. METHODS : A retrospective review of cases admitted to our institution due to extremities trauma requiring tissue transfer for definitive wound coverage from August 1997 until December 2005. RESULTS : From August 1997 until December 2005, 42 patients with severely injured extremities were admitted to our hospital requiring soft tissue transfer. Ten patients were operated before 3 weeks, 18 patient operated between 22 to 60 days and 14 patient were operated after 60 days. No immediate (within a week) definitive surgery was performed. Thirty two patients require only soft tissues and 10 patients require composite tissue transfer. All cases require multiple surgeries before, (mean: 7), and after, (mean: 3), tissue transfer. Hospital stays were between 17 days to a year prior to definitive surgery and between 10 to 42 days after definitive tissue transfer. CONCLUSION : Early definitive soft tissue transfer for wound coverage has a clear advantage to reduce hospital and cost of treatment in severe limbs injury. Further review is needed to treat these injuries as early as possible.
- Subjects
INJURIES of the anatomical extremities; ANATOMY; TRANSPLANTATION of organs, tissues, etc.; SURGERY; MEDICAL care costs
- Publication
Malaysian Journal of Medical Sciences, 2006, Vol 13, p78
- ISSN
1394-195X
- Publication type
Article