Outcomes of free anterolateral thigh perforator flaps versus free modified latissimus dorsi myocutaneous flaps for Gustilo type IIIB open tibial fractures with necrosis and infection.

作者：Xiaoyang Pang, Zheming Cao, Panfeng Wu, Juyu Tang, Zheng-Bin Zhou, Yu Fang, Lei Zeng, Yongbin Xiao, Ding Pan, Rui Liu · 发表于：PubMed · 年份：2020 · 被引用次数：6 · 研究领域：Bone fractures and treatments、Reconstructive Surgery and Microvascular Techniques、Knee injuries and reconstruction techniques

BACKGROUND: Infection and non-union of fractures are potential complications of Gustilo type IIIB open tibial fractures. It is important to choose the most effective type of flap to reduce the incidence of infection and non-union. METHOD: This study reviewed outcomes of 44 patients (aged 16-65 years) who underwent reconstruction of Gustilo type IIIB tibial fractures from January 2004 to January 2017. Patients received a free anterolateral thigh perforator flap (ALTP; n = 23) or modified latissimus dorsi myocutaneous flap (MLD; n = 21). Demographic data, intraoperative data, postoperative complications, and long-term outcomes were compared between groups. RESULTS: < 0.05). CONCLUSION: MLD was associated with fewer flap complications, shorter time to ESR and CRP normalization, and higher union rates by 6 and 9 months, compared with ALTP. These results suggest that MLD may provide a better environment for reducing susceptibility to infection and promoting fracture healing in Gustilo type IIIB tibial fractures with necrosis and infection.