EVEN UNEXPECTED SCARS HEAL WITH PROPER CARE IN TIME

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A 46 year old gentleman from Kolkata Police had presented in the Emergency department of Ruby GeneralHospital after a Road Traffic Accident (RTA) with complaints of pain and bleeding from an injury over the right lower limb and was admitted under the care of Dr. Dipanjan Bhadra (Orthopaedic Surgeon) and Dr. Deepanjan Dey (Reconstructive and Plastic Surgeon).

After a thorough evaluation, relevant investigations were advised and with proper written and informed consent, the gentleman was posted for surgery. Open Reduction and Internal Fixation (ORIF) of tibia (right) with reconstruction of right leg wound with a fasciocutaneous transposition flap and skin sight on donor defect was done.

Fasciocutaneous flaps are tissue flaps consisting of skin and underlying tissues including fascia (A collagen-rich lining tissue) and are used to provide coverage to bones and tendons in surgery when skin grafting is insufficient. They are less bulky and are used for most of this kind of surgery, but, are less resistant to infections when compared to muscle flaps. They are easy to design and form large flaps that are safe because of the good circulation and is very useful in the repair of soft tissue defects on the lower leg.

The postoperative period had been uneventful and the gentleman was kept in the ICU under strict monitoring. The dressing of the wound was done regularly. Postoperative X-rays of right leg did not reveal any postoperative complications.

One month after discharge, the gentleman had come walking to visit his consultant for the follow up and review. He is recuperating in leaps and bounds.

Location: Kolkata, West Bengal, India

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