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Plasty in the treatment of open double fractures of the tibia

Plastic surgery was carried out or by moving the triangles, or did laxative skin incisions. Of the 13 patients who produced this type of skin grafting, primary wound closure was observed in 5 patients.

Two men has occurred superficial suppuration of wounds, the healing was secondary and ended within the period of 2 weeks, in 3 — skin flaps were Microtiterwells, which required excision of the necrotic tissue with subsequent free skin grafting on granulating wound. Three patients developed osteomyelitis, the wounds heal for a long time, and also took a free secondary skin grafting.

Reimplantation skin grafts on Krasavitsa produced by 5 patients. The indications were wound with extensive detachment of the skin in its circumference, with hemorrhages in the subcutaneous tissue and thrombosis of vessels in the area of the delaminated skin. Flaps cut, cut on an adhesive dermatome thickness from 0.4 to 0.7 mm. Fully flap had one patient.

Continued prizyvanie Loskutov was partial, but after the removal of necrotic skin 2 appeared 3 weeks granulation, which allowed to make a second free skin grafting and avoid osteomyelitis. Two patients developed osteomyelitis.

Indication for free skin grafting was the defects of the skin and its detachment with signs of non-viability (pallor, sensitivity, absence of bleeding at the puncture of the skin). The resulting skin defect was replaced the same size free split skin graft taken a dermatome with front-outer thigh thickness of 0.4 mm.

Partial engraftment of the graft was in 3 patients, and in the 1st person flap completely tore away. All patients in this group was festering wounds. Three people after the treatment and education of granulating wounds re free skin grafting, followed by the healing of wounds.

 

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Директор Центра косметологииС 1998 года медцентром управляет ее главный специалист Поленов Вячеслав Алексеевич, пластический хирург, входит в комиссию ОПРЭХ, специалист в области лазерной медицины, лауреат премии Золотой Лацент.