Year : 2017  |  Volume : 13  |  Issue : 1  |  Page : 8-11

Reconstruction of lower limb traumatic soft tissue defects in Togo

Departement of Traumatology Orthopedic and Reconstructive Surgery, University of Lome, Lome, Togo

Correspondence Address:
Komla S Amouzou
Department of Traumatology Orthopedic and Reconstructive Surgery, Mix Faculty of Medicine and Pharmacy, University of Lome, Lome 02BP20752
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njps.njps_23_16

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Background: The management of lower limb soft tissue defects is still a challenge in our setting. Aims: This study aimed to review the clinical and socio-demographic characteristics of the patients with traumatic lower limbs defect and evaluate the results of surgical management in our setting. Settings and Design: Retrospective descriptive study. Materials and Methods: The charts of 30 adults patients treated surgically for lower limb soft tissue defects in the period from 1 January to 31 December 2014 were reviewed. Socio-demographic, clinical and therapeutic characteristics were documented. Statistical Analysis Used: The results were as general descriptive statistics, presented as medians, percentages and ranges. Results: The mean age was 34 years (range 18–60 years). The sex ratio was 3.28 for men. In 83% of the cases (20/30), injuries were due to collision between motorcycle and other vehicles. Soft tissue defects were type III B (50%, 15/30) and III A (47%, 14/30) of Gustilo-Anderson classification. The mean time between injury and reconstructive surgery was 48 days (range 14–118 days). Reconstruction techniques were mostly split skin graft (53%, 16/30) and neuro-sural distal pedicled flaps (20%, 6/30). Five cases of persistent osteomyelitis were observed. Conclusion: The non-availability of microsurgery limited our practice to regional and local flaps that gave good results and protected bone fractures that mainly healed in acceptable time.

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