Reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn: case report
Introduction: To present a reverse sural flap case report as an alternative to microsurgical flap in foot reconstruction after electrical trauma. The report presented is of a patient treated by the Burns and Complex Wounds groups of the Plastic Surgery Service of the Hospital das Clínicas o...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2022-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3134/en_v37n2a16.pdf |
| _version_ | 1827608995670523904 |
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| author | Gustavo Moreira Clivatti Renan Diego Américo Ribeiro Danielle Nunes Briza Carlos Eduardo Verzine Garcia Dimas André Milcheski Rolf Gemperli |
| author_facet | Gustavo Moreira Clivatti Renan Diego Américo Ribeiro Danielle Nunes Briza Carlos Eduardo Verzine Garcia Dimas André Milcheski Rolf Gemperli |
| author_sort | Gustavo Moreira Clivatti |
| collection | DOAJ |
| description | Introduction:
To present a reverse sural flap case report as an alternative to microsurgical flap in foot reconstruction after electrical trauma. The report presented is of a patient treated by the Burns and Complex Wounds groups of the Plastic Surgery Service of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo in 2020.
Case Report:
Male patient, 35 years old, without comorbidities, victim of high voltage electrical trauma (1300V) at home, affecting upper and lower limbs bilaterally. Due to the severity of the injuries, he underwent left transtibial amputation and serial debridement in the contralateral limb, resulting in a defect in the medial face, hallux and entire dorsum of the right foot, with bone exposure. Due to the failure of reconstruction with a microsurgical flap of the vastus lateralis muscle, reconstruction with a reverse sural flap was chosen. It evolved with distal necrosis, requiring new debridement and re-advancement of the flap. In the follow-up, he presented a favorable evolution and is in the process of rehabilitation.
Conclusion:
The reverse sural flap proved to be suitable for the salvage treatment of extensive foot injuries after the failure of microsurgical therapy, offering stable coverage and excellent contour, thus allowing satisfactory patient rehabilitation. |
| first_indexed | 2024-03-09T07:24:44Z |
| format | Article |
| id | doaj.art-264ff9823ca049a999d71cae8732d8bc |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T07:24:44Z |
| publishDate | 2022-06-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-264ff9823ca049a999d71cae8732d8bc2023-12-03T07:06:08ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352022-06-01370223924410.5935/2177-1235.2022RBCP0038Reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn: case reportGustavo Moreira Clivatti0Renan Diego Américo Ribeiro1Danielle Nunes Briza2Carlos Eduardo Verzine Garcia3Dimas André Milcheski4Rolf Gemperli5Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, São Paulo, SP, BrazilUniversidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, São Paulo, SP, BrazilUniversidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, São Paulo, SP, BrazilUniversidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, São Paulo, SP, BrazilUniversidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, São Paulo, SP, BrazilUniversidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, São Paulo, SP, BrazilIntroduction: To present a reverse sural flap case report as an alternative to microsurgical flap in foot reconstruction after electrical trauma. The report presented is of a patient treated by the Burns and Complex Wounds groups of the Plastic Surgery Service of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo in 2020. Case Report: Male patient, 35 years old, without comorbidities, victim of high voltage electrical trauma (1300V) at home, affecting upper and lower limbs bilaterally. Due to the severity of the injuries, he underwent left transtibial amputation and serial debridement in the contralateral limb, resulting in a defect in the medial face, hallux and entire dorsum of the right foot, with bone exposure. Due to the failure of reconstruction with a microsurgical flap of the vastus lateralis muscle, reconstruction with a reverse sural flap was chosen. It evolved with distal necrosis, requiring new debridement and re-advancement of the flap. In the follow-up, he presented a favorable evolution and is in the process of rehabilitation. Conclusion: The reverse sural flap proved to be suitable for the salvage treatment of extensive foot injuries after the failure of microsurgical therapy, offering stable coverage and excellent contour, thus allowing satisfactory patient rehabilitation.http://www.rbcp.org.br/export-pdf/3134/en_v37n2a16.pdfburnswounds and injuriessurgical flapsreconstructive surgical procedureswound closure techniquestissue transplantation. |
| spellingShingle | Gustavo Moreira Clivatti Renan Diego Américo Ribeiro Danielle Nunes Briza Carlos Eduardo Verzine Garcia Dimas André Milcheski Rolf Gemperli Reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn: case report Revista Brasileira de Cirurgia Plástica burns wounds and injuries surgical flaps reconstructive surgical procedures wound closure techniques tissue transplantation. |
| title | Reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn: case report |
| title_full | Reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn: case report |
| title_fullStr | Reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn: case report |
| title_full_unstemmed | Reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn: case report |
| title_short | Reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn: case report |
| title_sort | reverse sural flap as an alternative to microsurgical reconstruction of extensive foot wound after electrical burn case report |
| topic | burns wounds and injuries surgical flaps reconstructive surgical procedures wound closure techniques tissue transplantation. |
| url | http://www.rbcp.org.br/export-pdf/3134/en_v37n2a16.pdf |
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