Estudo clínico do retalho lateral do braço ampliado

OBJETIVO: Avaliar prospectivamente os resultados obtidos no tratamento de pacientes portadores de lesoes do revestimento cutâneo de dimensoes menores ou iguais a 20cm de comprimento por 10cm de largura com a utilizacao do retalho microcirurgico lateral do braco ampliado distalmente ao epicondilo lateral do cotovelo. METODOS: Foram operados 23 pacientes, 69,5% do sexo masculino, 73,9% de origem traumatica e a regiao receptora foi o membro inferior em 65.2% dos casos. A idade variou de 6 a 62 anos, com media de 32 anos. O seguimento minimo foi de 5 meses. RESULTADOS: Obtivemos sucesso na realizacao em 100% dos casos. As dimensoes dos retalhos variaram de 9 a 20cm em comprimento, com media de 14cm e em largura, de 3 a 8 cm, com media de 5.5cm. A maior distância entre o epicondilo lateral e a extremidade distal do retalho foi de 8 cm, variando de 2 cm ate 8 cm, com media de 4.9cm. CONCLUSAO: O retalho microcirurgico lateral do braco ampliado distalmente ao epicondilo lateral do cotovelo mostrou-se seguro para a cobertura cutânea de lesoes de dimensoes iguais ou menores a 20cm de comprimento por 10 cm de largura, com o prolongamento do retalho ate 8cm distal ao epicondilo lateral.

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