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Skin loss coverage

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The skin loss may be due to multiple causes (trauma, infection, burns, tumors, etc.). When noble tissues (nerves, blood vessels, bone without periosteum, tendon without peritenon) are exposed, we cannot use simple skin grafts: we need to place a vascularized tissue (Fig. 15A-B).

The flap may be of skin or muscle, which will be covered by a skin graft. (A skin flap is a large segment comprising the entire thickness of the skin, including fat. The graft includes only a thin layer of skin).

falta 15A

Figure 15A. 15 year old boy with extensive skin necrosis of the heel, after a motorcycle accident. The skin of the heel is a critical skin and therefore requires special coverage with a vascularized flap.

falta 15B

Figure 15B. 3 weeks after surgery. We used a vascularized flap of the latissimus dorsi muscle, on top of which skin was grafted.

Obstetric brachial palsy
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Risk of brachial plexus birth palsy. Necessary diagnostic tests.
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Shoulder problems in children with BPBP
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Diagnosis and Treatment of Shoulder Dysplasia
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Upper extremity problems in children with spastic hemiparesis
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The upper extremity in cerebral palsy with spastic tetraparesis
Surgical treatment of spastic hemiparesis
Pediatric vascular microsurgery: overview
Bone loss reconstruction I: Vascularized fibula transfer
Bone loss reconstruction II: Periosteum transfer of vascularized fibula
Bone recalcitrant nonunion or pseudoarthrosis
Bone revascularization (osteonecrosis, aseptic necrosis)
Joint reconstruction. Transfer of epiphysis and growth plate of the vascularized fibula
Reimplantation and revascularization
Functional muscle transfer (vascularized and innervated)
Skin loss coverage
Overview of fractures
Typical bone fractures in children
Treatment of fractures in children: overview
Classification and treatment of physeal fractures
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Upper extremity injuries of the child
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