Trauma Reconstruction✦ in Pune
(Emergency Soft-Tissue Flaps, Open Fractures & Limb Salvage)
Emergency Soft Tissue Coverage, Local/Regional Fasciocutaneous Flaps & Microvascular Limb Salvage
High-energy road traffic accidents (RTA), industrial machinery trauma, and severe crush injuries often cause extensive skin and soft-tissue loss, exposing vital bones, joints, tendons, and neurovascular bundles. Without prompt, expert plastic surgery flap coverage, exposed bone quickly develops osteomyelitis, often leading to tragic limb loss.
Operated by Dr. Chintan Gujarathi (MCh Plastic Surgery, Tata Memorial Hospital Fellow) at accredited tertiary centers (Ruby Hall Clinic, Sassoon Rd & Manipal Hospital Kharadi), utilizing sub-millimeter precision, concealed micro-incisions, and advanced tissue-handling for natural, permanent outcomes.
Limb Salvage — Extremity Preservation
Prevents amputation
Local Flaps — Muscle & Fascia
Gastrocnemius & Soleus
24/7 Trauma — Emergency Response
Ruby Hall & Manipal Kharadi
15+ Years — Surgical Experience
MCh, DrNB Board Certified

Surgical Approaches & Precision Techniques✦
Local Muscle & Fasciocutaneous Flaps
Rotational vascularized muscle flaps covering exposed bone, metal implants, and joint cavities.

Your Healing Journey & Care Guide✦
A straightforward clinical guide to what to expect and how to care for your results.
Strict Elevation & Perfusion Monitoring
Monitored inpatient recovery with leg elevated on pillows to promote venous drainage. Regular flap color and capillary checks.
Maintain continuous limb elevation—it prevents venous congestion and ensures rapid flap settling.
Wound Inspection & Gentle Mobilization
Surgical dressings and drains are removed. Flap is fully settled, warm, and vascularized. Bone healing continues smoothly.
Avoid dangling the leg for prolonged periods during the first 2 weeks to keep swelling low.
Orthopedic Bone Union & Partial Weight Bearing
Flap tissue matures and integrates with underlying bone. Orthopedic team confirms early callus formation on X-rays.
Follow the graded weight-bearing physiotherapy protocol strictly to protect both the bone and the flap.
Full Weight Bearing & Complete Recovery
Bone has achieved solid union and flap is resilient. Full independent walking without support.
Celebrate your saved limb! Maintaining joint mobility through daily walking ensures permanent long-term strength.
Recommended Best Practices (Do's)
- Keep the operated limb strictly elevated on pillows whenever sitting or lying down during early recovery.
- Follow the non-weight-bearing instructions using crutches or a walker until cleared by Dr. Gujarathi.
- Consume a high-protein, calcium, and vitamin C-rich diet to stimulate rapid bone and soft-tissue healing.
- Perform gentle toe wiggling and isometric quadriceps exercises to maintain muscle tone and prevent deep vein thrombosis.
- Attend scheduled follow-ups and X-ray reviews at Ruby Hall Clinic or Manipal Hospital Kharadi.
Precautions & Safeguards (Don'ts)
- Do not apply tight bandages, restrictive dressings, or pressure cuffs over the pedicle of the flap.
- Do not smoke, chew tobacco, or consume nicotine, as it causes intense microvascular spasm and flap failure.
- Do not bear full body weight on the operated leg prematurely without formal orthopedic authorization.
- Do not get cast or surgical dressing wet before formal removal by your medical team.
- Do not ignore sudden changes in limb pain, swelling, or toe sensation—contact our 24/7 team immediately.
Frequently Asked Questions✦
Essential clinical answers on surgical safety, scars, and recovery in Pune.
Schedule Your Consultation with Dr. Chintan Gujarathi
Available for personal clinical consultations and surgical assessment at premier accredited tertiary hospitals in Pune: