Management of Gustilo Type IIIC Injuries in the Lower Extremity.
Abstract
Gustilo IIIC injuries of the lower extremity pose a significant challenge to the reconstructive surgeon. Key principles include early vascular repair and serial debridement followed by definitive coverage within 10 days. Primary reconstructive options following vascular repair include the anterolateral thigh flap or the latissimus dorsi muscle flap. Complications include elevated rates of microvascular thrombosis requiring return to the operating room, partial and complete flap loss, and infection. There is also an elevated rate of secondary amputation. However, in spite of higher complication rates, when approached thoughtfully and with an experienced multidisciplinary team, patients can achieve reasonable functional outcomes.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 3 | |
| 시술 | microvascular
|
미세수술 | dict | 1 | |
| 해부 | latissimus dorsi muscle flap
|
scispacy | 1 | ||
| 합병증 | Gustilo Type IIIC Injuries
|
scispacy | 1 | ||
| 합병증 | Gustilo IIIC
|
scispacy | 1 | ||
| 합병증 | infection
|
감염 | dict | 1 | |
| 질환 | Gustilo IIIC injuries of the lower extremity
|
scispacy | 1 | ||
| 질환 | thrombosis
|
C0040053
Thrombosis
|
scispacy | 1 | |
| 기타 | vascular
|
scispacy | 1 | ||
| 기타 | anterolateral thigh flap
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 |
MeSH Terms
Adult; Amputation, Surgical; Female; Fractures, Open; Humans; Leg Injuries; Limb Salvage; Lower Extremity; Male; Postoperative Care; Postoperative Complications; Soft Tissue Injuries; Surgical Flaps; Treatment Outcome; Vascular Surgical Procedures
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