The possibility of using autologous adipose tissue for the stage shin wound closing

S N Markov,A V Slepov,A A Spiridonov

doi:10.25199/2408-9613-2021-8-3-46-51

Abstract

Extensive soft tissue defects can be complicated by systemic diseases (trophic ulcers in diabetes mellitus, chronic arterial insufficiency) or the result of trauma (domestic, military, operating, etc.). The current increase in the incidence of this pathology is due to the spread of cardiovascular diseases and diabetes mellitus. Closing an infected long-term non-healing wound, such as a tendon or bone, is one of the most difficult tasks of reconstructive surgery. For example, the use of classical methods of closing wound conditions is difficult to a degree due to the patient's polymorbid background. The clinical case presented in the article shows the possibility of closing deep shin wound with a complex relief by the transplantation of autologous adipose tissue, a patient with severe concomitant pathology.

Highlights

Extensive soft tissue defects can be complicated by systemic diseases or the result of trauma
The current increase in the incidence of this pathology is due to the spread of cardiovascular diseases and diabetes mellitus
The clinical case presented in the article shows the possibility of closing deep shin wound with a complex relief by the transplantation of autologous adipose tissue, a patient with severe concomitant pathology

Summary

Introduction

Возможность применения жировой аутоткани для этапного закрытия раны голени Закрытие инфицированных длительно незаживающих ран, дном которых является сухожилие или кость – одна из самых сложных задач реконструктивной хирургии. Представленное в статье клиническое наблюдение демонстрирует возможность закрытия обширной раны нижней трети голени со сложным рельефом дна путем трансплантации жировой аутоткани у пациента с тяжелой сопутствующей патологией.

Results

Conclusion