brahmanand clinic

degloving with fracture 14 years old boy with trauma.  both leg wounds Add caption Healed wound

wound with bone and tendon exposed lateral aspect of wound gracillis muscle  graciillis muscle with pedicle flap being insetted A very bad crush injury of  ankle occurred while patient was going on motorbike. Heel bone {calcaneaum} was badly crushed, orthopedic surgeon put wires into calcanaeum and  tried to fix it. A big wound remained with exposed Tendo Achillies which needed cover . It was infected and dirty wound so VAC therapy was put on the wound to reduce infection and it was planned to cover it with a flap once it improves. Debate of muscle versus skin flaps will be always be there in plastic surgery . Muscle flaps have inherent advantages in these conditions . So decision was taken to do gracillis flap which was connected to posterior tibial vessels. Artery was connected end to side and a single vein was done. Post op was eventful, flap was monitored for vascularity for five days and then patient being discharged. Patient was...

healed flap healed flap healed flap pre op wound post op healed flap post op healed flap 10 year old boy had a accident which resulted in total loss of medial side soft tissue. Resultant defect was managed with sural flap. Which healed nicely. Dr Adhishwar Sharma 8860650846 adhishwar7@gmail.com