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Early vascularized soft-tissue closure has long been recognized to be essential in achieving eventual infection-free union. The question of whether muscle or fasciocutaneous tissue is superior in terms of promoting fracture healing remains unresolved. In this article, the authors review the experimental and clinical evidence for the different tissue types and advocate that the biological role of flaps should be included as a key consideration during flap selection.

Original publication

DOI

10.1097/prs.0b013e3182589e63

Type

Journal article

Journal

Plastic and reconstructive surgery

Publication Date

08/2012

Volume

130

Pages

284e - 295e

Addresses

Kennedy Institute of Rheumatology, University of Oxford, London, UK.

Keywords

Muscle, Skeletal, Surgical Flaps, Animals, Humans, Fractures, Open, Tibial Fractures, Reconstructive Surgical Procedures, Fracture Healing