Our Experience of Proximally Based Sural Artery Flap with Ilizarov Fixator Around The Knee
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 02
Abstract
Objective: To determine the survival of sural artery flap reconstruction of complex soft tissue defects around the knee and use of ilizarov for fixation of proximal tibial fracture. Methods: This descriptive study was conducted in Orthopedic Department of Sheikh Zayed Medical College/Hospital, Rahim Yar Khan in the period extending from 23rd February 2014 to 23rd June 2019. All the patients fulfilling the inclusion criteria were operated for proximally based sural artery flap to cover the defect and fracture stabilized with Ilizarov fixator. Follow up was for a period of minimum of 06 months for flap survival and up to 1 year for fracture union and knee range of motion. Results: There were total 17 cases including 14(82.3%) male and 3(17.6%) female with mean age 35±9 years. Road traffic accidents were responsible for majority(64.7%,n=11) of cases while 6(35.2%) had gunshot injuries. The flap sizes ranged from 6x6cm up to 12x cm with pedicel length ranges from 4x10cm.Majority(88.2%,n=15) of flap survived. Proximal tibial fractures united in all patients. Full knee range of motion was documented in all the patients at final follow up. Conclusion: Proximally based sural artery fasciocutaneous flap with Ilizarov fixator is a reliable method for reconstruction of complex soft tissue defects around the knee. It has good outcome and only few complications.
Authors and Affiliations
Naseer Ahmad Chaudhry,Muhammad Azeem, Ahmad Awad Ahmad, Faisal Waheed
Keywords
Related Articles
- EP ID EP741662
- DOI -
- Views 48
- Downloads 0
Telemedicine after COVID: An unanticipated benefit to a pandemic
Healthcare providers have been featured prominently throughout the global response to COVID-19. Images of first responders, nurses, and ICU doctors became the symbols of courage for the rest of us to follow. The roles an...
Clubfoot – Today
The incidence of club foot is 4 to 6 per 1000 births and majority of the babies with club foot are born in the developing countries. 1Multiple factors are responsible for this deformity. The vascularity and the accessory...
Causes of Neglected Clubfeet in Pakistan
Objective: To determine the causes of delay in treating clubfoot in our set up. Methods: This descriptive study was conducted from October 2015 and December 2018 in Hayatabad Medical Complex and Mercy Teaching Hospita...
Risk Factors of Low Backache in Patients Presenting to A Tertiary Care Hospital of Dera Ismail Khan, Pakistan
Background: Low back pain (LBP) is a leading cause of disability worldwide. The objective of this study was assessment of risk factors of low backache in patients presenting to a tertiary care hospital. Methods: This...
Comparison of Titanium Elastic Nailing vs Hip Spica Cast in Treatment of Femoral Shaft Fractures in Children
To compare mean duration of bone union in traction followed by spica cast versus titanium elastic nailing (TEN) for fracture shaft of femur in children of age 6-12 years. Patients and Methods: This Randomized Control...