Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease
Background A recent advancement in microsurgery, the free flap is widely used in the reconstruction ofthe lowerleg and foot. The simple and effective methods oflocal flaps, including transposition and advancement flaps, have been considered for patients with chronicdebilitationwho are unable to e...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2013-05-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-220.pdf |
| _version_ | 1798041716079460352 |
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| author | Jin-Su Park Si-Gyun Roh Nae-Ho Lee Kyoung-Moo Yang |
| author_facet | Jin-Su Park Si-Gyun Roh Nae-Ho Lee Kyoung-Moo Yang |
| author_sort | Jin-Su Park |
| collection | DOAJ |
| description | Background A recent advancement in microsurgery, the free flap is widely used in the reconstruction ofthe lowerleg and foot. The simple and effective methods oflocal flaps, including transposition and advancement flaps, have been considered for patients with chronicdebilitationwho are unable to endure long surgical procedures or general anesthesia.However,the location and size of the wound may restrict the clinical application of a local flap. Underthese circumstances, a sural flap can be an excellent alternative, rendering satisfying clinicaloutcomesin chronically debilitated patients.Methods Between 2008 and 2012, 39 patients underwent soft tissue defect treatment bysural artery flap as a final method. All ofthe patients had atleast one chronic disease or more(diabetes, hypertension, vascular disease, etc.). Also, all ofthe patients had a history of chroniclower extremity ulceration, which revealed no response to several months of conservativetreatment.Results The results of the 39 cases had a successrate of 100% with 39 complete recoveries.Nine casessuffered complications: partial necrosis(n= 4),wound dehiscencewithout necrosis(n= 3), hematoma (n= 1), and infection (n= 1).Conclusions The sural artery flap is not only usefulforthe lowerleg but also forthe heel, andother various parts. Furthermore, itis a relatively simple surgicaltechnique forreconstructingthe defect area for patients with various chronic conditions with a high surgical risk or contraindicationsto surgery |
| first_indexed | 2024-04-11T22:26:25Z |
| format | Article |
| id | doaj.art-421b32a755704799b6e255177157ebfb |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T22:26:25Z |
| publishDate | 2013-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-421b32a755704799b6e255177157ebfb2022-12-22T03:59:40ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712013-05-01403220225Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic DiseaseJin-Su ParkSi-Gyun RohNae-Ho LeeKyoung-Moo YangBackground A recent advancement in microsurgery, the free flap is widely used in the reconstruction ofthe lowerleg and foot. The simple and effective methods oflocal flaps, including transposition and advancement flaps, have been considered for patients with chronicdebilitationwho are unable to endure long surgical procedures or general anesthesia.However,the location and size of the wound may restrict the clinical application of a local flap. Underthese circumstances, a sural flap can be an excellent alternative, rendering satisfying clinicaloutcomesin chronically debilitated patients.Methods Between 2008 and 2012, 39 patients underwent soft tissue defect treatment bysural artery flap as a final method. All ofthe patients had atleast one chronic disease or more(diabetes, hypertension, vascular disease, etc.). Also, all ofthe patients had a history of chroniclower extremity ulceration, which revealed no response to several months of conservativetreatment.Results The results of the 39 cases had a successrate of 100% with 39 complete recoveries.Nine casessuffered complications: partial necrosis(n= 4),wound dehiscencewithout necrosis(n= 3), hematoma (n= 1), and infection (n= 1).Conclusions The sural artery flap is not only usefulforthe lowerleg but also forthe heel, andother various parts. Furthermore, itis a relatively simple surgicaltechnique forreconstructingthe defect area for patients with various chronic conditions with a high surgical risk or contraindicationsto surgeryhttp://e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-220.pdfSuraSofttissue injuriesSurgical flap |
| spellingShingle | Jin-Su Park Si-Gyun Roh Nae-Ho Lee Kyoung-Moo Yang Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease Archives of Plastic Surgery Sura Softtissue injuries Surgical flap |
| title | Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease |
| title_full | Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease |
| title_fullStr | Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease |
| title_full_unstemmed | Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease |
| title_short | Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease |
| title_sort | versatility of the distally based sural artery fasciocutaneous flap on the lower leg and foot in patients with chronic disease |
| topic | Sura Softtissue injuries Surgical flap |
| url | http://e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-220.pdf |
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