Plastic reconstruction of soft tissue defects of extremities resulted from gunshot with the help of triangular flap

The authors suggested an original technique of plastic surgery of round and oval-shaped gunshot wounds of soft tissues with the use of triangular flap. The core of technique is to move triangular skin flap in the form of the letter «Ya» and «I». By moving this flap, as well as stretching and displacement of surrounding tissue it is possible to close the occured defect. The authors describe 32 surgical interventions on the upper and lower limbs in 21 wounded, defect size ranged from 2ґ2 cm to 12ґ18 cm. Closure of defects was performed during the period from 5 to 22 days after injury. As a result of the treatment the primary wound healing was observed in 87,5% of cases. In 12,5% of the wounded was observed marginal necrosis that healed after the second intervention and didn’t require repeated plastic reconstruction. Patients didn’t get rough tightening scars affecting joint movement after the plastic reconstruction. All patients achieved good cosmetic and functional results. The proposed method has several advantages over dermatomal plastic reconstruction, and before transplanting islet skin-facial flap in free and non-free versions. It is technically easier and does not require special software and tools.

firearm injuries of extremities, closing gunshot defects of the skin, plastic counter triangular flaps