Free flap reconstruction following lower leg trauma in the presence of rhabdomyolysis
R.P. Lahiri, A. Roshan, K.M. Burnand and A.J. Durrani
Corresponding address:
Mr R.P. Lahiri, CT1 in Plastic and Reconstructive Surgery, Department of Plastic and Reconstructive Surgery, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, UK.
Email: rajlahiri@doctors.org.uk
Rhabdomyolysis is considered a relative contra-indication to free tissue transfer because of the formation of free radicals that cause endothelial damage to the microcirculation. We describe the case of a young man who required free tissue transfer coverage of a large open fracture of his right tibia and fibula. This was performed successfully in the presence of rhabdomyolysis.
Keywords
Free tissue transfer; rhabdomyolysis; ischaemia–reperfusion injury
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