HARVESTING SURAL FLAP WITH COVERED PEDICLE
ABSTRACT Objectives: The aim was to evaluate the viability and the outcomes of the sural flap performed with the pedicle covered by a strip of skin. Methods: A prospective cohort of 20 consecutive cases were evaluated in terms of flap viability, complication rate, and the amount of skin graft requ...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2023-04-01
|
| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000200203&lng=en&tlng=en |
| _version_ | 1797844860691021824 |
|---|---|
| author | Álvaro Baik Cho Carlos Henrique Vieira Ferreira Priscilla Goes Medea de Mendonça Luiz Sorrenti Leandro Yoshinobu Kiyohara |
| author_facet | Álvaro Baik Cho Carlos Henrique Vieira Ferreira Priscilla Goes Medea de Mendonça Luiz Sorrenti Leandro Yoshinobu Kiyohara |
| author_sort | Álvaro Baik Cho |
| collection | DOAJ |
| description | ABSTRACT Objectives: The aim was to evaluate the viability and the outcomes of the sural flap performed with the pedicle covered by a strip of skin. Methods: A prospective cohort of 20 consecutive cases were evaluated in terms of flap viability, complication rate, and the amount of skin graft required. The location of the defects was the middle third of the tibia in 3 cases, the ankle and hindfoot in 15 cases, the middle foot in 1 case, and the forefoot in 1 case. The flap design was the same as described by Masquelet. The only modification included a strip of skin over the entire length of the pedicle. The intermediary skin between the donor site and the defect was incised and the skin was undermined to accommodate the pedicle without compression. Results: All cases had a satisfactory evolution, with adequate healing and without flap loss. Both the donor site and the pedicle were primarily closed in all cases. In one patient, the flap developed a limited area of superficial epidermolysis that healed spontaneously. Conclusion: the modified sural flap with a covered pedicle is feasible and reliable with a lower rate of complications when compared with the conventional sural flap. Level of Evidence IV, Cohort Studies. |
| first_indexed | 2024-04-09T17:29:12Z |
| format | Article |
| id | doaj.art-51afeeb44d844b4ab882ffac9d047e1a |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-04-09T17:29:12Z |
| publishDate | 2023-04-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-51afeeb44d844b4ab882ffac9d047e1a2023-04-18T07:33:29ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522023-04-0131spe110.1590/1413-785220233101e257850HARVESTING SURAL FLAP WITH COVERED PEDICLEÁlvaro Baik Chohttps://orcid.org/0000-0002-3099-4750Carlos Henrique Vieira Ferreirahttps://orcid.org/0000-0001-8287-4649Priscilla Goes Medea de Mendonçahttps://orcid.org/0000-0002-1493-7051Luiz Sorrentihttps://orcid.org/0000-0003-1160-8559Leandro Yoshinobu Kiyoharahttps://orcid.org/0000-0003-3768-2597ABSTRACT Objectives: The aim was to evaluate the viability and the outcomes of the sural flap performed with the pedicle covered by a strip of skin. Methods: A prospective cohort of 20 consecutive cases were evaluated in terms of flap viability, complication rate, and the amount of skin graft required. The location of the defects was the middle third of the tibia in 3 cases, the ankle and hindfoot in 15 cases, the middle foot in 1 case, and the forefoot in 1 case. The flap design was the same as described by Masquelet. The only modification included a strip of skin over the entire length of the pedicle. The intermediary skin between the donor site and the defect was incised and the skin was undermined to accommodate the pedicle without compression. Results: All cases had a satisfactory evolution, with adequate healing and without flap loss. Both the donor site and the pedicle were primarily closed in all cases. In one patient, the flap developed a limited area of superficial epidermolysis that healed spontaneously. Conclusion: the modified sural flap with a covered pedicle is feasible and reliable with a lower rate of complications when compared with the conventional sural flap. Level of Evidence IV, Cohort Studies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000200203&lng=en&tlng=enTissue TransplantationSurgical FlapsFree Tissue Flaps |
| spellingShingle | Álvaro Baik Cho Carlos Henrique Vieira Ferreira Priscilla Goes Medea de Mendonça Luiz Sorrenti Leandro Yoshinobu Kiyohara HARVESTING SURAL FLAP WITH COVERED PEDICLE Acta Ortopédica Brasileira Tissue Transplantation Surgical Flaps Free Tissue Flaps |
| title | HARVESTING SURAL FLAP WITH COVERED PEDICLE |
| title_full | HARVESTING SURAL FLAP WITH COVERED PEDICLE |
| title_fullStr | HARVESTING SURAL FLAP WITH COVERED PEDICLE |
| title_full_unstemmed | HARVESTING SURAL FLAP WITH COVERED PEDICLE |
| title_short | HARVESTING SURAL FLAP WITH COVERED PEDICLE |
| title_sort | harvesting sural flap with covered pedicle |
| topic | Tissue Transplantation Surgical Flaps Free Tissue Flaps |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000200203&lng=en&tlng=en |
| work_keys_str_mv | AT alvarobaikcho harvestingsuralflapwithcoveredpedicle AT carloshenriquevieiraferreira harvestingsuralflapwithcoveredpedicle AT priscillagoesmedeademendonca harvestingsuralflapwithcoveredpedicle AT luizsorrenti harvestingsuralflapwithcoveredpedicle AT leandroyoshinobukiyohara harvestingsuralflapwithcoveredpedicle |