Fasciocutaneous sural flap for softtissue coverage in the third distal leg, ankle and foot.

DOI: https://doi.org/10.15417/602
Keywords: Sural flap, Soft-tissue defects, Distal tibia, Ankle, Foot.

Abstract

BackgroundThe objective of this paper is to evaluate the results after the use of distally-based reverse fasciocutaneous sural flap in the reconstruction of soft-tissue loss around the distal tibia, ankle and foot. Methods37 fasciocutaneous pedicled reverse sural flaps performed between 2008 and 2016 were retrospectively evaluated. Average age of the patients: 49 years (range 8-90). Soft-tissue loss was post-traumatic in 27 cases, 7 cases presented soft tissue defect after pressure sores  (two bilateral) and three patients presented skin necrosis secondary to surgical procedure. Defect size averaged 9,6 x 6,7 (15 x 9) cm. ResultsFollow-up averaged 18 months. Complete softtissue defect coverage was achieved in 29 cases. Three flaps had partial necrosis and five suffered completed necrosis, four of them had history of vascular disease.ConclusionsAlthough multiple coverage options have been described for soft-tissue coverage around the distal tibia, ankle and foot, the reverse sural flap is one of the most frequently used procedures to cover these defects. We evaluated 37 reverse sural flaps, achieving good results with low percentage of complications and morbidity.

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Author Biographies

Guido Carabelli, Hospital Italiano de Buenos Aires
Médico de planta del Sector de Trauma
Jorge Daniel Barla, hospital italiano de Buenos Aires
Médico de planta del Sector de Trauma
Danilo Roger Taype, hospital italiano de Buenos Aires
medico asociado al Servicio de Ortopedia y traumatologia
Carlos Federico Sancineto, hospital Italiano de Buenos Aires
Jefe de Servicio de Ortopedia y Traumatología

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Published
2017-05-12
How to Cite
Carabelli, G., Barla, J. D., Taype, D. R., & Sancineto, C. F. (2017). Fasciocutaneous sural flap for softtissue coverage in the third distal leg, ankle and foot. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 82(2), 136-140. https://doi.org/10.15417/602
Issue
Vol 82 No 2 (2017)
Section
Clinical Research

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