Orthoplasty with flaps in fractures with loss of coverage A single-center observational study.

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Hugo Ernesto Villarroel Rovere
Carlos Alberto Jaramillo Becerra
Manuel Enrique Betancourt Castillo

Abstract

Introduction: Repairing musculocutaneous injuries in extremities is a challenge for orthopedic surgery. The coverage of these lesions must be flexible, vascularized and cover the compromised anatomical structures. This study demonstrates the effectiveness of combining plastic surgery techniques with orthopedic techniques (Orthoplasty) to resolve skin defects in extremities.


Methods: The present study is descriptive, retrospective in patients treated for skin loss in extremities in the Traumatology service of the Alcívar Hospital, period 2020 - 2022.


Results: There were 33 patients, 28 men and five women, with an average age of 32 years. 33 flaps were made: 10 cutaneous, 11 fasciocutaneous, eight muscular, and four vascular. A high degree of post-surgical satisfaction was obtained according to the Likert scale.


Conclusions: The resolution of skin defects improves the skeletal fixation of fractures with the return of the form and function of the extremities.

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How to Cite
Orthoplasty with flaps in fractures with loss of coverage: A single-center observational study. (2023). Actas Médicas (Ecuador), 33(2), 142-149. https://doi.org/10.61284/147
Section
Original Research
Author Biographies

Hugo Ernesto Villarroel Rovere, Servicio de Ortopedia y Traumatología, Hospital Alcívar, Guayaquil, Ecuador.

Especialista en Traumatología y Ortopedia por la Universidad De Guayaquil (Guayaquil, 2004). Doctor en Medicina y Cirugía por la Universidad De Guayaquil. a.                Médico Ortopedista-Traumatólogo, Miembro del equipo y director del postgrado de Ortopedia y Traumatología, Hospital Alcívar, Guayaquil, Ecuador.

Correo: villarroelr@hotmail.com

  https://orcid.org/0000-0002-0847-0344

Carlos Alberto Jaramillo Becerra, Servicio de Ortopedia y Traumatología, Hospital Alcívar, Guayaquil, Ecuador.

Médico por la Universidad Nacional de Loja (Loja, 2002). Especialista en traumatología y ortopedia por la Universidad de Guayaquil (Guayaquil, 2013). Alta especialidad en medicina> Atención médica y quirúrgica de los padecimientos de la columna vertebral por la Universidad Nacional Autómona de México, (Distrito Federal, 2017). Jefe, Servicio de Ortopedia y Traumatología, Hospital Alcívar, Guayaquil, Ecuador.

Correo: dr.jaramillobecerracarlos@gmail.com

 https://orcid.org/0009-0002-0680-4547

Manuel Enrique Betancourt Castillo, Servicio de Ortopedia y Traumatología, Hospital Alcívar, Guayaquil, Ecuador.

Médica General por la Universidad Nacional de Loja (Ecuador, 2020). Médico Residente del Servicio de Ortopedia y Traumatología, Hospital Alcívar, Guayaquil.

Correo: riquemanu9@gmail.com

  https://orcid.org/0009-0004-0925-2455

How to Cite

Orthoplasty with flaps in fractures with loss of coverage: A single-center observational study. (2023). Actas Médicas (Ecuador), 33(2), 142-149. https://doi.org/10.61284/147

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