Document Detail

Complex technique of large sural flap: an alternative option for free flap in large defect of the traumatized foot.
MedLine Citation:
PMID:  21713727     Owner:  NLM     Status:  In-Data-Review    
The distally based sural fasciocutaneous flap has become a main part of the reconstruction of the lower leg, heel and foot. However, perfusion problems and venous congestion have been reported. Over the past decade, several flap modifications have been reported to improve flap viability and to solve a myriad of reconstructive needs. The purpose of this paper is to describe our experience in harvesting the reversed large sural flap from the proximal and middle third of the leg for large defects on the foot. We applied the extended reversed sural flap from the proximal third of the leg in traumatized patients which had large defects on their foot. The technique was done in 3 parts: 1- the flaps were designed in the proximal third of the leg five centimeter lipofascial tissue was protected around the pedicle in distal part; 3- The pivot point was located in seven to eight cm proximal the lateral malleolus before the first fasciocutaneous perforators arising from the peroneal artery. Sural flaps from the proximal and middle third of the leg were designed in13 patients who had large defects on their foot. No flap necrosis or split thickness skin graft loss occurred. The flaps healed by the 3rd week excluding two patients. This study supports the application of our technique as a safe, easy and useable method in large defects of the foot. The results showed low rates of ischemia, venous congestion, dehiscence, infection and flap necrosis. Proximal extended and large distally based sural flap is an alternative to free tissue transfer for large defect reconstruction of the foot.
Naser Mohammadkhah; Sadrollah Motamed; Seyed Nejat Hosseini; Hamid Reza Hallajmofrad; Madjid Abdolzadeh; Lotfallah Afzali Borujeni; Seyednouraddin Mousavinasab
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta medica Iranica     Volume:  49     ISSN:  1735-9694     ISO Abbreviation:  Acta Med Iran     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-06-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  14540050R     Medline TA:  Acta Med Iran     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  195-200     Citation Subset:  IM    
Plastic Surgeon, Department of Plastic and Reconstructive, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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