[Reconstruction of open fractures of the leg associated with extensive loss of skin and soft tissues using muscular and cutaneo-muscular flaps].

The author draws attention to the serious character of open fractures of the leg with extensive losses of the skin and soft tissues. He emphasizes the need of high standard primary surgical treatment and osteosynthesis of the fracture by external fixation device according to a therapeutic plan. To ensure an undisturbed consolidation of the fracture in indicated cases, the author implements the reconstruction of acute skin losses and soft tissue losses by a muscular flap of the m. soleus or m. tibialis ant. and by dermatomuscular flaps of the gastrocnemius muscle. Of 42 casualties with open fractures of the leg with losses of soft tissues the author made in 9 reconstructions of acute losses by muscular and dermatomuscular flaps. The author presents the documentation of two patients with open fractures of the leg who were treated by muscular and dermatomuscular flaps.