With the increase in vehicular traffic, the rate of accidents has also increased resulting in severe trauma to the lower limb. These again are complex injuries and require proper management by an orthopaedician and a plastic surgeon right from the outset, working as a team, to help the injury heal faster and with minimal disability.
If the exposed structures are not covered with good vascular viable tissues soon, then these structures like the bone, tendons and nerves, get infected or die resulting in permanent disabilities.
For this various procedures ranging from skin grafting to local flaps or micro vascular free tissue transfers are used, depending on the given case.
The first aim is to preserve vital structures and provide function, aesthesis is secondary. But once stabilized secondary procedures can be done to improve the aesthesis also.
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