{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T10:12:08Z","timestamp":1779185528442,"version":"3.51.4"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>ABSTRACT Objective: to evaluate the management of lower limbs complex traumatic injuries by analyzing their characteristics, types, conduct and evolution, with emphasis on surgical treatment. Methods: we conducted a prospective study of patients treated by Plastic Surgery at a regional hospital of the Federal District during a one-year period. We collected data through serial evaluations and telephone contact records. Results: we studied 40 patients, with a mean age of 25.6 years, predominantly male (62.5%). The most frequent wounds were of the distal third of the lower limb (37.5%). Bone or tendon exposures occurred in 55% had and there was a 35% rate of exposed lower limb fractures. The treatments employed were skin grafting (57.5%), local fasciocutaneous flap (15%), muscle flap (12.5%), cross-leg fasciocutaneous flap, reverse sural flap (12.5%) and microsurgical flap (2.5%). Short-term evaluation showed that 35 patients had excellent or good results (87.5%), four had a regular result (10%), and one had an unsatisfactory result (2.5%). In the long term, of the 18 patients who answered the questionnaire, ten resumed walking, even with support, in the first three months after surgery (55.6%). Conclusion: young men involved in motorcycle accidents during leisure time represented the profile of patients with lower limb trauma requiring surgical reconstruction; the distal third of the leg was the most affected region. Grafting was the most used technique for reconstruction and postoperative functional evaluation showed that, despite complex lesions, most patients evolved with a favorable healing process and successful functional evolution.<\/jats:p>","DOI":"10.1590\/0100-69912017001003","type":"journal-article","created":{"date-parts":[[2017,4,27]],"date-time":"2017-04-27T19:26:59Z","timestamp":1493321219000},"page":"9-16","source":"Crossref","is-referenced-by-count":11,"title":["Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital"],"prefix":"10.1590","volume":"44","author":[{"given":"JEFFERSON LESSA SOARES","family":"MACEDO","sequence":"first","affiliation":[{"name":"North Wing Regional Hospital, Brazil; School of Health Sciences, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SIMONE CORR\u00caA","family":"ROSA","sequence":"additional","affiliation":[{"name":"North Wing Regional Hospital, Brazil; University of Brasilia, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DANIEL LOBO","family":"BOTELHO","sequence":"additional","affiliation":[{"name":"North Wing Regional Hospital, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CLENDES PEREIRA DOS","family":"SANTOS","sequence":"additional","affiliation":[{"name":"North Wing Regional Hospital, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MURILO NEVES DE","family":"QUEIROZ","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TABATHA GON\u00c7ALVES ANDRADE CASTELO BRANCO","family":"GOMES","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1590\/S0100-69912011000600003","article-title":"Atua\u00e7\u00e3o da Cirurgia Pl\u00e1stica no tratamento de feridas complexas","volume":"38","author":"Coltro PS","year":"2011","journal-title":"Rev Col Bras Cir"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1097\/01.sap.0000125496.83395.53","article-title":"Patterns and implications of lower extremity injuries in a community level I trauma center","volume":"53","author":"Fairbanks GA","year":"2004","journal-title":"Ann Plast Surg"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S0094-1298(20)31536-4","article-title":"The evolution of the surgical management of severe lower extremity trauma","volume":"13","author":"Aldea PA","year":"1986","journal-title":"Cin Plast Surg"},{"key":"ref4","series-title":"Selected Readings in Plastic Surgery","first-page":"1","volume-title":"Lower extremity reconstruction","volume":"5","author":"Byrd HS","year":"1990"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/SAP.0b013e3181f88ecf","article-title":"Orthoplastic classification systems: the good, the bad, and the ungainly","volume":"66","author":"Durrani CA","year":"2011","journal-title":"Ann Plast Surg"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1097\/00006534-197308000-00001","article-title":"Distant tranfer of an island flap by microvascular anastomoses. A clinical technique","volume":"52","author":"Daniel RK","year":"1973","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"ref7","first-page":"264","article-title":"Tratamento das \u00e1reas cruentas de perna com retalhos locais","volume":"30","author":"Franco D","year":"2015","journal-title":"Rev Bras Cir Pl\u00e1st"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/SAP.0b013e318208f210","article-title":"The management of open lower limb fractures: the journey from amputation to evidence-based reconstruction and harpsichords","volume":"66","author":"Whitaker IS","year":"2011","journal-title":"Ann Plast Surg"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01.prs.0000305928.98611.87","article-title":"MOC-PS (SM) CME article: lower extremity reconstruction","volume":"121","author":"Reddy V","year":"2008","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"ref10","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1590\/S0102-36162010000600012","article-title":"Fratura do quadril: avalia\u00e7\u00e3o p\u00f3s-operat\u00f3ria do resultado cl\u00ednico e funcional","volume":"45","author":"Guerra MTE","year":"2010","journal-title":"Rev bras ortop"},{"issue":"1","key":"ref11","first-page":"26","article-title":"Tradu\u00e7\u00e3o, revalida\u00e7\u00e3o e confiabilidade da Escala de Cicatriza\u00e7\u00e3o de Vancouver para l\u00edngua portuguesa - Brasil","volume":"13","author":"Santos MC","year":"2014","journal-title":"Rev Bras Queimaduras"},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1590\/S1413-78522010000300005","article-title":"Tradu\u00e7\u00e3o e adapta\u00e7\u00e3o transcultural do instrumento de avalia\u00e7\u00e3o do quadril \"Harris Hip Score\"","volume":"18","author":"Guimar\u00e3es RP","year":"2010","journal-title":"Acta ortop bras"},{"issue":"9","key":"ref13","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1097\/00005373-199009000-00005","article-title":"Acute hospital costs of trauma in the United States: implications for regionalized systems of care","volume":"30","author":"MacKenzie EJ","year":"1990","journal-title":"J Trauma"},{"issue":"11","key":"ref14","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.2105\/AJPH.88.11.1630","article-title":"Return to work following injury: the role of economic, social, and job-related factors","volume":"88","author":"MacKenzie EJ","year":"1998","journal-title":"Am J Public Health"},{"issue":"127","key":"ref15","first-page":"1","article-title":"Detailed diagnoses and procedures, National Hospital Discharge Survey, 1994","author":"Graves EJ","year":"1997","journal-title":"Vital Health Stat"},{"issue":"1","key":"ref16","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/00006534-198107000-00015","article-title":"The management of open tibial fractures with associated soft-tissue loss: external pin fixation with early flap coverage","volume":"68","author":"Byrd HS","year":"1981","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"ref17","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1097\/00006534-198511000-00011","article-title":"Management of open tibial fractures","volume":"76","author":"Byrd HS","year":"1985","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1097\/00006534-198609000-00001","article-title":"Early microsurgical reconstruction of complex trauma of the extremitites","volume":"78","author":"Godina M","year":"1986","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"ref19","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1016\/S0094-1298(20)31541-8","article-title":"Acute management of severe soft-tissue damage accompanying open fractures of the lower extremity","volume":"13","author":"Yaremchuck MJ","year":"1986","journal-title":"Clin Plast Surg"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00006534-198707000-00001","article-title":"Acute and definitive management of traumatic osteocutaneous defects of the lower extremity","volume":"80","author":"Yaremchuck MJ","year":"1987","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"ref21","doi-asserted-by":"crossref","first-page":"284e","DOI":"10.1097\/PRS.0b013e3182589e63","article-title":"Soft-tissue reconstruction of open fractures of the lower limb: muscle versus fasciocutaneous flaps","volume":"130","author":"Chan JK","year":"2012","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"ref22","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1097\/01.prs.0000204959.18136.36","article-title":"Lower extremity trauma: trends in the management of soft-tissue reconstruction of open tibia-fibula fractures.","volume":"117","author":"Parrett BM","year":"2006","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"ref23","doi-asserted-by":"crossref","first-page":"138e","DOI":"10.1097\/01.prs.0000259203.79909.7e","article-title":"The distally based sural flap","volume":"119","author":"Follmar KE","year":"2007","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"ref24","first-page":"434","article-title":"Uso de retalhos musculares locais para cobertura de exposi\u00e7\u00f5es \u00f3sseas na perna","volume":"41","author":"d`Avila F","year":"2014","journal-title":"Rev Col Bras Cir"},{"issue":"7","key":"ref25","doi-asserted-by":"crossref","first-page":"1910","DOI":"10.1097\/01.prs.0000189204.71906.c2","article-title":"Delayed reverse sural flap for staged reconstruction of the foot and lower leg","volume":"116","author":"Kneser U","year":"2005","journal-title":"Plast Reconstr Surg"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v44n1\/0100-6991-rcbc-44-01-00009.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T11:48:32Z","timestamp":1601984912000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912017000100009&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["S0100-69912017000100009"],"URL":"https:\/\/doi.org\/10.1590\/0100-69912017001003","relation":{},"ISSN":["0100-6991"],"issn-type":[{"value":"0100-6991","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2]]}}}