Treatment of tibial fractures postoperative infection and soft tissue loss by external fixation stand and pedicle skin flap in 16 cases.

Objective To summarize the clinical effect of treating tibial fractures postoperative infection and soft tissue loss by external fixation stand and pedicle skin flap.Methods 16 patients were received with tibial fractures postoperative infection and soft tissue loss in 3 years.4 patients were treated by cruris lateral and inside reverse island skin flap.The crura anterior wound surface of 8 patients were repaired by direct motion and retrograde motion fascia skin flap.The donor area wound surface was adopted freeing full or chin pachyderma dermatoplasty.Results 3 patients occurred skin flap penumbra infection and necrosis afteroperation.3 patients occurred external fixation stand pin hole infection.2 patients were fracture nonunion.The other patients started callus formation in 2-4 months and fracture healing in 6-10 months afteroperation.Conclusion It is safe and effective that treating tibial fractures postoperative infection and soft tissue loss by external fixation stand and pedicle skin flap.