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标题：Chirurgie reconstructrice des membres en situation précaire : utilisation des lambeaux dans les structures chirurgicales de l’avant françaises
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作者：O. Barbier ; D. Ollat ; S. Rigal 等
期刊名称：Médecine et Santé Tropicales
印刷版ISSN：1157-5999
电子版ISSN：1950-6953
出版年度：2016
卷号：26
期号：2
页码：137-141
DOI：10.1684/mst.2016.0573
出版社：John Libbey Eurotext
摘要：Figures Tables Authors O. Barbier ¹ * D. Ollat ¹ S. Rigal ² G. Versier ¹ 1 HIA Bégin, Service de chirurgie orthopédique, 94160 Saint Mandé, France 2 Hôpital d’instruction des Armées Percy, Service de chirurgie orthopédique, 92240 Clamart, France * Correspondance Key words: flap, role 2, training, war injury DOI : 10.1684/mst.2016.0573 Page(s) : 137-41 Published in: 2016 Introduction . Military surgeons deployed abroad must achieve soft tissue coverage under austere conditions. Hypothesis . A non-specialized surgeon can achieve soft tissue coverage with good results. Material and method . This is a retrospective study of all patients who underwent soft tissue coverage in French forward surgical units between 2003 and 2013. Results . In all, 81 flaps were constructed. Open fractures (39%) were the leading indication, followed by osseous infections (35%). Most flaps were for legs (70%) and hands (25%). Only pedicle flaps were used. The success rate was 91%. Discussion . Flaps can be constructed by orthopedic surgeons who are not specialized in reconstructive surgery, in austere settings and with good results. This procedure must be part of a global strategy of limb reconstruction, especially in cases of bone and joint infection. Pedicle flaps, especially muscular, appear more reliable and are to be preferred. The training of the surgeons deployed abroad must include flap surgery.
关键词：flap; role 2; training; war injury