brahmanand clinic

flap bed irrigated with antibiotics flap before skin grafting flap before skin grafting After skin grafting inner view of wound after skin grafting After skin grafting LD and serratus flap flap wit slough on it six months after injuries After debridement total degloving from knee joint to annkle ankle wound  vessel dissection 22 year old hotel management graduate met with a road side accident, he was trying to climb DTC bus suffered a rollover injury. He suffered dislocation of ankle and total shin degloving of shin . He had ESIC panel insurance. He was taken to ESIC hospital in gurgaon from where he was referred to QRG central hospital Faridabad. Where he was taken up  for debridement and external fixator application first , after two days underwent LD and Serratus muscle transfer . Post operative he developed high grade fever whic...

32 year old man suffered a near total amputation to right leg due to road traffic accident . By the time they reached hospital part was considered non replantable, So decision was taken to amputate the leg and cover stump with LD flap in order to preserve stump length. LD flap was connected to popliteal artery stump and vena comitans was used for venous drainage. Flap was skin grafted ,It took two months for all wounds to heal . Patient was fitted with prosthesis after another six months. Free flaps are sometime used to preserve the length of amputation stump , whenever skin cover is short . Usually muscle flap are used along with skin grafting to cover amputation stump. Sometimes Fasciocutaneous flaps ( ALT) are  used.  Preserving amputation stump length enables better ambulation and less energy consumption. It results in better ambulation and more gait speed. It is useful in you...