Distraction osteogenesis in management of composite bone and soft tissue defects |
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Authors: | El-Alfy Barakat El-Mowafi Hani El-Moghazy Nabil |
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Institution: | (1) Mansoura Faculty of Medicine, Mansoura University Hospital, 35516 Mansoura, Egypt |
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Abstract: | A soft tissue defect is one of the most difficult problems that may accompany bone defects. Plastic surgery is often required.
During distraction osteogenesis, not only the bone but also the soft tissues are lengthened, which may help in spontaneous
closure of the soft tissue defects. This study examines 11 cases of composite bone and soft tissue defects which were managed
by distraction osteogenesis. After debridement of the necrotic tissues, the soft tissue defects ranged from three by four
centimetres to five by 14 centimetres and the bone defects ranged from four to 12 centimetres. All the soft tissue defects
healed during the process of bone transport without the need for plastic surgery, except in one case. The complications were
successfully managed during the course of treatment. Distraction osteogenesis is a good method for simultaneous treatment
of composite bone and soft tissue defects. |
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