Journal of the Bahrain Medical Society
Year 2022, Volume 34, Issue 2, Pages 44-48
https://doi.org/10.26715/jbms.34_2022_2_6Mohamed Elsakka1, Nayef Louri2, Mokhtar Mahmoud Abdelhamid3
1Senior Resident, Department of Plastic Surgery, Bahrain Defense Force Hospital, Kingdom of Bahrain.
2Consultant, Head of Department and Head of Burn Unit, Department of Plastic Surgery, Bahrain Defense Force Hospital, Kingdom of Bahrain.
3Consultant, Department of Plastic Surgery, Bahrain Defense Force Hospital, Kingdom of Bahrain.
*Corresponding author:
Lt. Col. Dr. Nayef A. Louri, Consultant, MD, FRCS (I), ADPS (Plastic Surgery), Plastic, Reconstructive and Burn Surgeon, Head of department, Burn Unit, Bahrain Defence Force Military hospital, Riffa, Southern Governorate, Bahrain-28743, E-mail: bdfburn@gmail.com
Received date: June 16, 2021; Accepted date: December 26, 2021; Published date: June 30, 2022
Abstract
Utilizing multiple muscle flaps is a safe and reliable technique to provide stable soft tissue cover for major post-traumatic defects of the lower limbs.
A fifty-five-year-old female patient presented to the emergency department with a huge crush/degloving injury of the whole anteromedial aspect of the right lower limb with open comminuted fracture of the femur, the tibia, and the fibula. Radiological computerized tomography (CT) study showed displaced comminuted fractures involving the lower shaft of the femur, proximal fibula, and middle third of the shaft of the tibia, with tangential bone loss in the knee joint.
The patient underwent multiple sessions of wound and bone debridement with bone fixation which was followed by multiple reconstructive surgeries.
Patient recovered well and was discharged home with the ability to mobilize with Zimmer frame and knee brace support.
Keywords: Comminuted fractures, Degloving injuries, Muscles, Reconstructive surgical Procedures, Surgical flap
Tables and Figures can be referred to in the PDF.