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MAJOR CRUSH INJURY LEFT UPPER LIMB
AFTER SURGIAL DEBRIDEMENT SHOWING LOSS OF MULTIPLE EXTENSOR MUSCLE POSTERIOR INTEROSSEOUS NERVE, WITH EXPOSED ELBOW JOINT
49 year old male met with a road traffic accident. Patient was driving a two wheeler which was overrun by a tipper on 29.12.2010 at around 2.30 p.m. between Miryalguda and Damargidda Chevella mandal , Ranga Reddy distt. Andhra pradesh, India. Patient sustained extensive degloving injury to the left upper limb extending from the left mid arm to the left wrist region.
LEFT UPPER LIMB RUN OVER BY A HEAVY VEHICLE
INTRA OPERATIVE PICTURE SHOWING EXTENSIVE CONTAMINATION , DEGLOVING OF THE FOREARM SKIN
LATISSIMUS DORSI FREE FLAP HARVESTED
AFTER INSETTING OF MICROVASCULAR FREE LATISSIMUS DORS MUSCLE FLAP – END TO SIDE TO BRACHIAL ARTERY AND END TO END TO VENAE COMITANTES
IMMEDIATE POST OPERATIVE SPLINTING TO AVOID PRESSURE ON FREE TISSUE TRANSFER
SKIN GRAFTING DONE AFTER 48 HOURS
Author information
DR N.JITHENDRANM.S. (ORTHOPAEDICS),M.Ch (PLASTIC SURGERY), D.N.B. ( PLASTIC SURGERY)