الفهرس 
• Anatomy of the legOnly 14 pages are availabe for public view
 |  | from | 16 |  |  |
| | | from | 16 | | |
Abstract
This study was carried out at the Plastic Surgery Department,Menoufiya University Hospitals.The group of patients had varieties of defects. The ages ranged from 8 to 65 years. Various types of flaps were used. The flaps were applied at different periods from original injury that caused the defect.The failure rate in this series was 20% in muscle flaps, 9.5% in fasciocutaneous flap, 33.3% in free flap and 11.5% in split thickness skin graft.Infected defects when adequately debrided can be covered by local or free flaps without significantly increasing the failure rate.However, one should be aware of the increasing zone of injury in these wounds and to select a flap away from the defect or a flap with careful selection of the recipient vessels to avoid failure.The most interesting finding in this study was the lower infection rates regardless the used procedure.The complications in this series was similar to commonly reported complications in flap surgery. In our study, the main method in reconstruction of tissue defects are split thickness skin graft, fasciocutaneous flap, local muscle flap.and finally free flap.The conclusion from this study to avoid several complications that proper debridement of defect good selection of method of reconstruction is the key in successful management.Muscle coverage is not mandatory to cover bone in the lower limb.It is a common misconception that muscle provides better vascularity and greater tolerance to infection than fasciocutaneous flaps. Muscle flaps are not the solution for curing established infection. Recent clinical work also confirms that non muscular tissue can be successfully transferred to cover bone defects after aggressive debridement which remain the key factor. Moreover, muscle harvesting can induce a certain morbidity of the donor site and may induce some aesthetic disadvantages on the recipient site.