compound fracture tibia and gastrocnemius flap

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EXPOSED BONE 

Wound excision

PERFORATOR INDENTIFIED



Flap insetted

Donor site skin grafted

21  year old young man met with a accident . He suffered severe head injuries ,abdominal injuries and  fracture leg . He was treated conservatively for head injuries and splenic injuries . Leg fracture was with a small wound. It was debrided and VAC therapy was applied for one week . After one week patient was taken up for ORIF and nailing was done. And wound was covered with a VAC After one week patient was planned for flap cover as the wound was bigger.

Decision to do gastrocnemius was taken , doppler was done to identify perforator for skin paddle. Skin paddle was marked and elevated along with a muscle and transferred. Flap was insetted and donor site was skin grafted .



Dr Adhishwar Sharma
MBBS,MS Gen Surgery PGIMER Chd
Mch Plastic Surgery
Fellowship in Hand and Microvascular Surgery
brachialplexus7.blogspot.com
brahmanandclinic.com
8860650846
















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