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Title: Moving car-tire injuries of the foot: reconstruction with microvascular free flaps. Author: Nuzumlali E, Gürbüz C, Kantarci U, Cepel S, Bayri O, Polatkan O. Journal: J Reconstr Microsurg; 1996 Jul; 12(5):297-302. PubMed ID: 8835828. Abstract: Moving car-tire injury of the foot is a condition that appears to be a new clinical entity in Istanbul, in which the non-weight-bearing surface of the foot is prone to be injured. Between 1992 and 1995, eight moving car-tire injuries of the foot were managed. Patient age averaged 10.25 years (range: 7 to 21 years). All patients presented with soft-tissue loss combined with extensor tendon and bone lesions. In 6 patients, immediate flap coverage after initial debridement and, in 2 patients, delayed coverage after multiple debridements, were performed. All the flaps survived. Although in all patients, the weight-bearing region was always intact, some had gait-pattern abnormalities due to the bone and soft-tissue injuries. Early removal of all devitalized tissues and closure of the wounds with transfer of healthy tissue have a higher rate of success, lower incidence of infection, require fewer operative procedures, and shorter hospitalizations.[Abstract] [Full Text] [Related] [New Search]