Value of distal base sural flap (interosseous flap) - A clinical study
Journal Title: International Journal of Biomedical and Advance Research - Year 2015, Vol 6, Issue 10
Abstract
Introduction: Distal Base Sural Flap is a very important flap to cover the posterior as well as weight bearing area of heel with single rotation flap. The indications include post traumatic defect with compound communited fracture calcaneum with partial or complete rupture of tendoachilles, squamous cell carcinoma over heel following non-healing ulcer, and non-healing ulcers over heel due to other causes. Materials and Method: Skin and deep fascia of leg are incised from proximal to distal, sacrificing the sural nerve and the short saphenous vein. The flap medially follows the lateral border of the Achilles tendon, and laterally the fibula. When defect is on heel, the medial incision can reach the edge of the defect. The flap is then rotated at 1800 to cover the defect. Functional and aesthetic outcomes are evaluated in terms of complete or partial flap survival, successful coverage of the recipient defect, healing of any underlying fracture proved radiographically, ease or difficulty in walking or wearing shoes, ambulatory status of the injured limb after six months and any concerns of the patient regarding the aesthetic appearance of the flap. Donor site healing and complications are also recorded. Results: We have done 10 cases using this flap and got 8 excellent results, 1 good and 1poor result. Our maximum follow up period is of 2yrs & minimum is of 6months. Conclusion: Distally based sural flap is an excellent procedure in selected cases for covering the defect. Patients are back on his/her own feet within short time and able to put full weight without any complication in follow up period.
Authors and Affiliations
Malkesh D. Shah, Jagdish J. Patwa, Keyur B Patel, Aditya K Agarwal, Neel H Patel
Keywords
Related Articles
- EP ID EP355338
- DOI 10.7439/ijbar.v6i10.1725
- Views 88
- Downloads 0
Uromodulin Levels in Chronic Kidney Disease
Objectives: Uromodulin is a protein exclusively produced by Kidney in tubular cells lining thick ascending limb (TAL) of the loop of Henle. It has been linked to water electrolyte balance, protective role against urinary...
A prospective, randomized and double blind once-monthly oral Ibandronate and Risedronate in post-menopausal osteoporosis leprosy patients
Objectives: The aim of the current investigation was to compare relative efficacy, tolerability and adherence of once monthly regimen of oral Ibandronate and Risedronate in postmenopausal osteoporotic leprosy patients wi...
Enhancing students learning by introducing various interactive teaching-learning methods in large group
Introduction: The factual knowledge says that interactivity leads to better learning outcomes. MCI has recommended interactive and innovative teaching but it is rare to find studies that have emphasized on faculty develo...
Study of serum amylase levels in organophosphate poisoning
Background:Organophosphorus is poisoning producing clinical alterations in the serum amylase and lipase activity. Earlier plasma cholinesterase level was used to assess the severity of poisoning. Presently serum amylase...
Diabetic foot ulcers and biofilm formation- The culprits
India leads the world with largest number of diabetic subjects earning the dubious distinction of being termed the diabetes capital of the world. DFIs are predominantly polymicrobial caused by a combination of Gram posit...