Home Archive Vol.43, No.4, 2017 Case Presentation of Soft Tissue Defect after Bimalleolar Fracture Osteosynthesis

Case Presentation of Soft Tissue Defect after Bimalleolar Fracture Osteosynthesis

A. GRECU(1), O. NICA(2), DANIELA MARINESCU(3), DANIELA VINTILA(4), M. CIUREA(5)

(1)Department of Orthopaedics and Traumatology, Clinical Emergency County Hospital of Craiova; PhD Student at University of Medicine and Pharmacy of Craiova, (2)Department of Plastic Surgery and Reconstructive Microsurgery, Clinical Emergency County Hospital of Craiova; PhD Student at University of Medicine and Pharmacy of Craiova, (3)Department of Vascular Surgery, Clinical Emergency County Hospital of Craiova, University of Medicine and Pharmacy of Craiova, (4)Department of Plastic Surgery and Reconstructive Microsurgery, Clinical Emergency County Hospital of Craiova, (5)Department of Plastic Surgery and Reconstructive Microsurgery, Clinical Emergency County Hospital of Craiova, University of Medicine and Pharmacy of Craiova

    Abstract: A 59-year-old patient presented in the ER with wound dehiscence and skin necrosis on the right ankle, with osteosynthesis implant visible, after open reduction and fixation with plate and screws, performed abroad, 16 days prior to the presentation, for a bimalleolar fracture. The patient was admitted to the plastic surgery department, where surgical debridement of the necrotic tissue was initially performed. Postoperatively, the patient was treated with Negative-pressure wound therapy (VAC dressing) and Platelet rich plasma (PRP) therapy. Upon obtaining granulation tissue without signs of infection, a sural fasciocutaneous flap was performed to cover the skin defect. Proper graft integration and healing was observed.
    Keywords: infection, negative-pressure wound therapy, tissue grafts, osteosynthesis, platelet-rich plasma

DOI 10.12865/CHSJ.43.04.16 


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Volume 43 Issue 4 2017