Algorithm for covering circumferential wound on limbs with ALTP or/and DIEP flaps based on chain-linked design and combined transplantation

Circumferential wound is most-common seen in high-energy trauma, especially in degloving injury and blunt injury. Circumferential soft-tissue defect could also be encountered in infection, burns, electrocution and congenital nevi after the involved lesion being resected [1]. The characteristic feature is the defect involves four sides on extremities (anterior, posterior, medial and lateral), each of which could be wider or narrower. If the wound is located around the joint, the defect would have more dimensions and more irregular shape.
Source: Injury - Category: Orthopaedics Authors: Source Type: research