A Clinical Study on Islanded Reverse Sural Artery Flap for the Reconstruction of Defects over the Lower Third of Leg and Foot
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 12
Abstract
Introduction: The islanded reverse sural artery flap is a versatile, relatively simple procedure, useful in reconstruction of lower third leg, heel, tendo achilles region, malleoli and hind foot defects because of the long vascular pedicle. The surgical technique is safe, of short duration and provides alternative to microsurgical reconstruction. Aim: To study the versatility and applications of islanded reverse sural artery flaps in the reconstruction of distal third leg, heel and foot defects. Materials and Methods: A prospective study was conducted between October 2007 to March 2010, 26 patients with moderate sized skin and soft tissue defects in the distal third of leg and foot were treated with Islanded Reverse Sural Artery Flap at Government Chengalpattu Medical College, Tamil Nadu, India. The flap was planned in reverse, after marking with Doppler and procedure was performed. Factors like size of defect, length and width of pedicle, comorbid factors and complications were taken into account for the study. Results: Most of the flaps were done on post traumatic defects. Around 80% of the flaps had settled well with no or minimal donor site morbidity. Increasing age, co-morbid factors, narrow pedicle and arc of rotation of about 180 degrees all caused an increased complication rate which varied from 10 to 38%. Conclusion: Islanded reverse sural artery flap with its wide arc of rotation can provide cover to lower third of leg, heel and foot defects, thereby, reducing the need for staged cross leg flap and other flaps. It is a reliable and versatile flap in the hands of reconstructive surgeon to provide good quality skin cover for defects of the leg and foot with acceptable donor site morbidity in a single stage.
Authors and Affiliations
Surya Rao Rao Venkata Mahipathy, Selvan Ranganathan, Sridharan Murugesan, Alagar Raja Durairaj, Narayanamurthy Sundaramurthy, Sasikumar Muthu
Keywords
Related Articles
- EP ID EP368038
- DOI 10.7860/JCDR/2017/31115.10946
- Views 51
- Downloads 0
Uterine Rupture in an Unscarred Uterus in Second Trimester: A Case Report
Uterine rupture in an unscarred uterus is rare and diagnosis is not always obvious; leading to increased morbidity and mortality of the mother and the foetus. Here we report a case of complete spontaneous uterine rupture...
Rectus Sheath Haematoma Secondary to Enoxaparin Injection- A Rare Case Report
Rectus sheath haematoma is a well-documented condition with an elusive diagnosis. It is an uncommon complication of anti-coagulation therapy, which can have a mortality of upto 25%. The patient discussed here is a 40-yea...
Hypovitaminosis D is Associated with Gestational Diabetes Mellitus
Introduction: Vitamin D deficiency has been shown to cause expression of insulin gene resulting in high insulin synthesis and secretion. It also decreases insulin resistance, thus affecting abnormal glucose metabolism an...
Dental Age Estimation Using Percentile Curves and Regression Analysis Methods - A Test of Accuracy and Reliability
ABSTRACT Introduction: Age estimation using the developmental stages of tooth is considered the most reliable method for forensic investigations and for planning the age dependent treatment modalities in clinical applica...
Psychometric Utility in Determining Dental Organizational Attribute: A Cross Sectional Study in Ghaziabad, India
Introduction: Psychometrics is the field of research involved with the objective measurement of finesse and intelligence, skills, temperament, personality traits, and educational success and technique of psychological me...