CC BY-NC-ND 4.0 · Indian J Plast Surg 1981; 14(01): 43-48
DOI: 10.1055/s-0043-1778414
Review Article

Flap Lacerations With Distal Base (A Study of Coal Mining Injuries)

Dr. Y. Poornachandra Rao
1   Orthopaedic Surgeon & Senior Medical Officer, Singareni Colleries Main Hospital, Kothagudem Collieries, Pin 507 101, A. P.
› Author Affiliations

Summary

1. A total number of 55 cases ol distally based flap lacerations in coal miners are reported.

2. Fap lacerations in thigh and arm behave in a way similar to extensive lacerations elsewhere in the body.

3. Flap lacerations overlying the tibia, more so in the distal 1/3rd are predestined to poor healing compared to their counterparts over the calf.

4. Primary suture of flap lacerations is to be avoided and delayed primary suturing is preferable.

5. Steristrip application may be justified in these cases to prevent wrinkling of the flap.

6. Enforced bed rest, Elevation of the limb, early regular inspection of the wound and compression/supportive bandages form an essential part of the treatment.



Publication History

Article published online:
19 February 2024

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