TY  - JOUR
PY  - 2017//
TI  - Epidemiological profile and treatment of substance losses by trauma to the lower limbs
JO  - Revista do Colégio Brasileiro de Cirurgiões
A1  - Rezende, Ricardo Barros Martins
A1  - Macedo, Jefferson Lessa Soares de
A1  - Rosa, Simone Corrêa
A1  - Galli, Fernando Soares
SP  - 444
EP  - 451
VL  - 44
IS  - 5
N2  - OBJECTIVES: to evaluate the epidemiological profile, the surgical treatment and the postoperative results of patients with complex traumatic injuries to the lower limbs. <br><br>METHODS: we conducted a retrospective study of patients with traumatic complex injuries treated by the Plastic Surgery Service of a regional hospital in Brasília. We analyzed clinical-epidemiological data, type of surgical procedure and functional recovery of the limb after six months of treatment. <br><br>RESULTS: 119 patients were treated, with a mean age of 29 years, predominantly men (76.4%). Motorcycle accident was responsible for most of the injuries, in 37.8% of cases. The most frequent surgical treatment was skin grafting (62.1%), followed by the fasciocutaneous flap (21.9%), muscular flap (12.6%) and microsurgical flap (3.4%). Six months after completion of the surgical treatment, 35.3% of the patients needed crutches to move, characterizing a delay in limb functional recovery that, however, was significantly related to the presence of fractures, external fixation or bone exposure in the preoperative period. <br><br>CONCLUSION: the profile of the patient with complex traumatic lower limb injury was a male, motorcycle accident victim, and grafting was the most used treatment. Orthopedic trauma with bone fracture, bone exposure and the presence of external fixator were significantly associated with a higher risk of limb functional impairment, requiring locomotion crutches after six months of treatment.<p />  <p>Language: pt</p>
LA  - pt
SN  - 0100-6991
UR  - http://dx.doi.org/10.1590/0100-69912017005004
ID  - ref1
ER  -