L.Ya. GIZATULINA¹, A.A. BOGOV^1,2, R.I. MULLIN¹, Ya.Kh. IBRAGIMOV^1,2

¹Republic Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

²Kazan State Medical Academy — Branch Campus of the RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

 Gizatulina L.Ya. — Cand. Med. Sc., Junior Researcher of the Research Department, tel. +7-917-257-78-78, е-mail: leisangizat@gmail.ru

Bogov A.A. — D. Med. Sc., Professor of the Department of Endoscopy, General and Endoscopic Surgery, Chief Researcher of the Research Department, Head of Traumatology Department №2, tel. +7-987-290-99-55, е-mail: Bogov_a@mail.ru

Mullin R.I. — Cand. Med. Sc., Leading Researcher of the Research Department, traumatologist-orthopedist of the Traumatology Department №2, tel. +7-903-306-39-44, е-mail: rusdan@mail.ru

Ibragimov Ya.Kh. — D. Med. Sc., Professor of the Department of Traumatology and Orthopedics, traumatologist-orthopedist, tel. +7-917-289-11-38, е-mail: zuleila@rambler.ru

The article presents statistics of burn injuries, disability reasons caused by burn consequences, localizations of post burn deformities. A clinical case is described of a patient with defects of soft tissues of the lower third of shin and non-supporting surface of foot. The method of surgical treatment is described using the vascularized skin plastics by reverse adipofascial flaps of the lower leg in counterpulsation, with outlining the advantages and limits of using such a method. The effectiveness of this method for the treatment of defects of soft tissues of the lower third of shin and non-supporting surface of foot is connected with the constancy of the supply vessels in the flap; possibility of using a large flap; inclusion of the sural nerve in the pedicle with the intraneural and perineural vessels, supplying the flap with additional blood circulation, and the small saphenous vein providing the sufficient venous drainage from the flap, which significantly reduces the number of necroses.

Key words: reverse adipofascial flaps of the lower leg, defects of soft tissues of shin and foot, vascularized skin plastic.

References

1. VOZ. Ogogi. Informativniy bulleten. [WHO. Burns. News bulletin] Septembr 2016. http://www.who.int/mediacentre/factsheets/fs365/ru. (appeal 11.04.2017)
2. Yudenich V.V., Grishkevich V.M. Rukovodstvo po reabilitacii obogennih [The rehabilitation of burnt of the handbook ], 1986. 365 p.
3. Povstyanoy N.E. Vosstanovitelnaya xirurgiya ogogov [Reconstructive surgery of buns], 1973. 216 p.
4. Mirazimov B.M. Vosstanovitelnaya xirurgiya ogogovix deformacii konecnostey [Reconstructive surgery of buns deformation of limbs], 1972. 152 p.
5. Baigamagambetov S.A., Koshenov K.M. Plasticeskoe zamecenie defektov myagkih tkaney nignei konecnosti kozno-girovim loskutom s osevim krovosnabgeniem [Plastic replacement defection of soft tissue lower limb at the skin and fat flap with axial blood supply]. Traumatologiya gene ortopediya, 2011, no. 2, pp 316-319.
6. Pshenisnov K.P. Kurs plasticheskoy xirurgii. Rukovodstvo dlya vrachey. [Course plastic surgery. Handbook for doctors], 2010. 1419 p.
7. Bogov A.A. Primenenie vaskulyarizirovannoi kognoi plastiki medialnim loskutom stopi dlya zamecheniya defekta myagkih tkaney stopi. [The usage of vascularized skin plastics by medial flap of the foot for replacing defects of soft tissues of the foot]. Practicheskaya meditsina, 2012, no. 8, pp. 86-87.