Study of versatility of reverse sural fasciocutaneous flap for reconstruction of lower third leg defect
Journal Title: International Journal of Medical and Health Research - Year 2019, Vol 5, Issue 2
Abstract
Soft-tissue defects of the lower extremity usually result from trauma, infection, vascular insufficiency, or surgery. The sural flap proved a considerable versatility at the level of the lower leg (from the knee to the ankle and heel) as well as for other anatomical regions. The most common usage of the flap is for the distal-third defects of the leg. Here, the reverse sural flap permits the soft tissue reconstruction without the need for microsurgery. It does not sacrifice any of the three major arteries to the distal extremity. Sparing the major artery, the relatively simple dissection and the low donor site morbidity are among the most important advantages of using this flap. This study is a retrospective review of the sural fasciocutaneous flaps carried out in 14 patients): 11 men and 3 women with an average age of 41 years (ages 16-61) and a postoperative follow-up between 1 years and 2 years. Most of the patients had sustained road traffic accident. Nine (9) of the defects were over the lower 1/3rd leg, three (3) of the defects were around the medial malleoli, One(1) over the anterior ankle, and 2 over lateral malleoli. There was an underlying bone, fracture, implant or tendon exposed in 9 patients. 3 of this patients underwent standard reverse sural island flap and rest 11 patient underwent reverse sural fasciocutaneous flap. The size of the defects for island flaps ranged from 5x5cm to 9x8cm. The length of sural fasciocutaneous flaps ranged from 7 to 25cm from the tip of lateral malleolus. All the defects were covered successfully, without major complications. In our conclusion, reverse sural artery fasciocutaneous flap distally based on peroneal perforators is a good option to cover the soft tissue defect of distal third leg, ankle, heel and dorsum of the hind foot. The present study was planned in the Department of Plastic Surgery, Pulse Emergency Hospital, Patna, Bihar. Total 14 cases of the operated from June 2016 to Dec 2017 were included in the present study.
Authors and Affiliations
Dr. Shyam Kumar Satyapal
Keywords
Related Articles
- EP ID EP583241
- DOI -
- Views 158
- Downloads 0
Comparative study between some different serological methods for detection of Hepatitis "C" virus antibodies in Taif Governorate
Objective: detection of hepatitis C virus antibodies in serum samples can be done by different methods. However, choosing between them is still a confusing matter. So, this study aimed to make a comparison between some s...
Patient satisfaction in king Abdulaziz medical city (KAMC)-Jeddah
Objective: To assess the level of patient’s satisfaction in different aspects of health care service in King Abdulaziz Medical City-Jeddah. Study Design: Cross sectional study. Data Collection Methods: Face to face inter...
Teenage pregnancies in a Nigerian tertiary hospital
Background: Teenage pregnancies are high risk pregnancies with increased risk of negative outcome in the babies, mothers or both. Objectives: To identify and document the patterns of morbidity and mortality in teenage de...
Clinicopathological study of encephalitis in greater Gwalior region: A hospital based study
Introduction: Encephalitis is inflammation of the brain parenchyma. Viral infection is the most common cause of the condition. Aims And Objectives: To find out prevalence and encephalitis cases in hospital admitted patie...
A prospective study to assess effectiveness of oral misoprostol in active management of prelabour rupture of membrane at or after 36 weeks of pregnancy
Approximately 80% of PROM at term begins labour within 24 hrs and 95% within 72 hours. PROM is often associated with significant maternal and perinatal infections. As the exact aetiology of PROM is not known, it cannot b...