Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot
Purpose: To express the versatility of a variety of non-microsurgical skin flaps used for coverage of difficult wounds in the lower third of the leg and the foot over 4 years period. Five kinds of flaps were used. Each flap was presented with detailed information regarding indication, blood supply,...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-08-01
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| Series: | Chinese Journal of Traumatology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127517301931 |
| _version_ | 1819156447224659968 |
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| author | Ahmed Hassan El-Sabbagh |
| author_facet | Ahmed Hassan El-Sabbagh |
| author_sort | Ahmed Hassan El-Sabbagh |
| collection | DOAJ |
| description | Purpose: To express the versatility of a variety of non-microsurgical skin flaps used for coverage of difficult wounds in the lower third of the leg and the foot over 4 years period. Five kinds of flaps were used. Each flap was presented with detailed information regarding indication, blood supply, skin territory and technique. Methods: Altogether 26 patients underwent lower leg reconstruction were included in this study. The reconstructive procedures applied five flaps, respectively distally based posterior tibial artery perforator flap (n = 8), distally based peroneal artery perforator flap (n = 4), distally based sural flap (n = 6), medial planter artery flap (n = 2) and cross leg flaps (n = 6). Results: In all cases, there were no signs of osteomyelitis of underlying bones or discharge from the undersurface of the flaps. Fat necrosis occurred at the distal end of posterior tibial artery perforator flap in one female patient. The two cases of medial planter artery flap showed excellent healing with closure of donor site primarily. One cross leg flap had distal necrosis. Conclusion: Would at lower third of leg can be efficiently covered by posterior tibial, peroneal artery and sural flaps. Heel can be best covered by nearby tissues such as medial planter flap. In presence of vascular compromise of the affected limb or exposure of dorsum of foot, cross leg flap can be used. Keywords: Lower third of leg, Foot, Local flaps, Cross leg flaps |
| first_indexed | 2024-12-22T15:53:01Z |
| format | Article |
| id | doaj.art-4f2bd00f802a4bcc90b5a595d77880f3 |
| institution | Directory Open Access Journal |
| issn | 1008-1275 |
| language | English |
| last_indexed | 2024-12-22T15:53:01Z |
| publishDate | 2018-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Chinese Journal of Traumatology |
| spelling | doaj.art-4f2bd00f802a4bcc90b5a595d77880f32022-12-21T18:20:52ZengElsevierChinese Journal of Traumatology1008-12752018-08-01214197205Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and footAhmed Hassan El-Sabbagh0Plastic Surgery Department, Plastic Surgery Centre, Faculty of Medicine, Mansoura University, EgyptPurpose: To express the versatility of a variety of non-microsurgical skin flaps used for coverage of difficult wounds in the lower third of the leg and the foot over 4 years period. Five kinds of flaps were used. Each flap was presented with detailed information regarding indication, blood supply, skin territory and technique. Methods: Altogether 26 patients underwent lower leg reconstruction were included in this study. The reconstructive procedures applied five flaps, respectively distally based posterior tibial artery perforator flap (n = 8), distally based peroneal artery perforator flap (n = 4), distally based sural flap (n = 6), medial planter artery flap (n = 2) and cross leg flaps (n = 6). Results: In all cases, there were no signs of osteomyelitis of underlying bones or discharge from the undersurface of the flaps. Fat necrosis occurred at the distal end of posterior tibial artery perforator flap in one female patient. The two cases of medial planter artery flap showed excellent healing with closure of donor site primarily. One cross leg flap had distal necrosis. Conclusion: Would at lower third of leg can be efficiently covered by posterior tibial, peroneal artery and sural flaps. Heel can be best covered by nearby tissues such as medial planter flap. In presence of vascular compromise of the affected limb or exposure of dorsum of foot, cross leg flap can be used. Keywords: Lower third of leg, Foot, Local flaps, Cross leg flapshttp://www.sciencedirect.com/science/article/pii/S1008127517301931 |
| spellingShingle | Ahmed Hassan El-Sabbagh Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot Chinese Journal of Traumatology |
| title | Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot |
| title_full | Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot |
| title_fullStr | Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot |
| title_full_unstemmed | Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot |
| title_short | Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot |
| title_sort | non microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot |
| url | http://www.sciencedirect.com/science/article/pii/S1008127517301931 |
| work_keys_str_mv | AT ahmedhassanelsabbagh nonmicrosurgicalskinflapsforreconstructionofdifficultwoundsindistallegandfoot |