Use of muscule flap for plasty oflower extrmity bone defects in patients with gunshot wounds

Abstract

The treatment of patients with gunshot wounds remains an urgent problem in traumatology and orthopedics in modern conditions. Mine blast wounds lead to defects in various areas not only of soft tissues, but also of the bones of the lower extremities. Lower extremity injuries in mine blast wounds are the cause of prolonged treatment, rehabilitation and, in some cases, disability of patients. To eliminate soft tissue defects, free and non-free skin grafting methods are most often used. Extensive bone defects, obtained as a result of mine blast impact on the lower limbs, often make it impossible to close them simultaneously with the use of skin grafting methods with local tissues. This article presents several clinical observations of successful use of flaps of different muscle groups to close defects of the tibia and calcaneus. The method of muscle plasty of bone cavities makes it possible to close the wound defect in conditions of bone, muscle tissue and skin deficiency, which contributes to the reduction of treatment time for patients with gunshot wounds, reduction of post-traumatic complications and early return of servicemen to service.