Posts

Showing posts from July, 2020

cross leg flap

Image
Exposed bone cross leg flap being in setted At one week post op First dressing after division flap and skin graft in situ healed flap and healing graft wound healing at 2 weeks healed donor site healed wounds   patient suffered  gun shot injury due to which popliteal artery  injury which was repaired by  a vascular surgeon .  Patient had a stormy post op course with multiple debridement done as a result patient lost lot of muscle in all compartment of leg. He had a exposed bone  and  lot of wounds which needed cover . Two months after the injury patient was planned for reconstructive surgery, during this time VAC dressing was applied . CT Angio showed that repaired artery is patent and venous drainage was superficial veins ruling out any microvascular surgery. So decision was taken to do cross leg flap. At division of flap skin grafting of raw area was done. Patient was send to orthopedic surgeon for fixation of fracture. Dr Adhis