Abstract
Major burn injuries can be devastating for the patients and their carers both in terms
of morbidity and mortality. Therefore, it is important to optimize the treatment of
the injured patient. After initial resuscitation and physiological stabilization,
thorough surgical débridement of the burn is necessary. Often resultant defects can
be resurfaced with split skin grafting or local flaps. However, in a small percentage
of cases free flap surgery is necessary. Free tissue transfer in burns surgery is
rare, but is indicated in those patients in which there is loss of a vascularized
surface suitable for grafting such as exposed tendon, or bone following surgical débridement,
and in extreme cases for limb salvage. This review article discusses the rationale
for free flap surgery in terms of types of burn injuries, perioperative considerations,
and summarizes the literature in free tissue transfer in acute burns.
Keywords
free flap surgery - acute burns management - trauma
