Coverage of the lower third of the limb and foot injuries using reverse sural fasciocutaneous flap described by Carriquiry
Introduction: Skin grafts are not effective to cover lesions in the distal third of the lower limbs that expose the bones, joints, tendons, and blood vessels due to a limited vascular bed and poor granulation of the wounds. These lesions can only be corrected with microsurgical transfer or muscle, m...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2019-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/2533/en_v34n2a10.pdf |
| _version_ | 1797409014391242752 |
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| author | Camila Garcia Sommer Aluísio Marino Roma Lauro Arnoldo Ferreira Koehler Cristiane Camargo Ferreira Verena Benedick Coimbra Antonio Roberto Bozola |
| author_facet | Camila Garcia Sommer Aluísio Marino Roma Lauro Arnoldo Ferreira Koehler Cristiane Camargo Ferreira Verena Benedick Coimbra Antonio Roberto Bozola |
| author_sort | Camila Garcia Sommer |
| collection | DOAJ |
| description | Introduction: Skin grafts are not effective to cover lesions in the distal third of the lower limbs that expose the bones, joints, tendons, and blood vessels due to a limited vascular bed and poor granulation of the wounds. These lesions can only be corrected with microsurgical transfer or muscle, myocutaneous, or fasciocutaneous flaps.
Methods: The lower border of the flap was marked 5 cm above the malleolus. The upper border was marked after providing sufficient length for complete coverage of the lesion. The incision was performed at the marked upper border, and the skin and subcutaneous tissue were elevated together with muscle fascia. The sural nerve was preserved in its original bed. The flap was lifted to the marked lower border (the pedicle). At this point, the flap was transposed at a sufficient angle to cover the lesion.
Results: Eight cases of surgery were conducted using the flap described above. All cases had exposed bones and tendons in the distal region of the limb, back of the foot, or both, in which the reverse sural fasciocutaneous flap with the technique proposed by Carriquiry was used. The cases showed satisfactory esthetic and functional results.
Conclusion: The used flap can correct lesions of the lower third of the limbs and foot. It is relatively easy to make, with good vascular supply, and there is no functional loss of the donor area. |
| first_indexed | 2024-03-09T04:08:09Z |
| format | Article |
| id | doaj.art-e1b090127bc84b45ade6eb4c14be73ff |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T04:08:09Z |
| publishDate | 2019-06-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-e1b090127bc84b45ade6eb4c14be73ff2023-12-03T14:03:47ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352019-06-01340224324910.5935/2177-1235.2019RBCP0140Coverage of the lower third of the limb and foot injuries using reverse sural fasciocutaneous flap described by CarriquiryCamila Garcia Sommer0Aluísio Marino Roma1Lauro Arnoldo Ferreira Koehler2Cristiane Camargo Ferreira3Verena Benedick Coimbra4Antonio Roberto Bozola5Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, BrazilFaculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, BrazilFaculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, BrazilFaculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, BrazilFaculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, BrazilFaculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, BrazilIntroduction: Skin grafts are not effective to cover lesions in the distal third of the lower limbs that expose the bones, joints, tendons, and blood vessels due to a limited vascular bed and poor granulation of the wounds. These lesions can only be corrected with microsurgical transfer or muscle, myocutaneous, or fasciocutaneous flaps. Methods: The lower border of the flap was marked 5 cm above the malleolus. The upper border was marked after providing sufficient length for complete coverage of the lesion. The incision was performed at the marked upper border, and the skin and subcutaneous tissue were elevated together with muscle fascia. The sural nerve was preserved in its original bed. The flap was lifted to the marked lower border (the pedicle). At this point, the flap was transposed at a sufficient angle to cover the lesion. Results: Eight cases of surgery were conducted using the flap described above. All cases had exposed bones and tendons in the distal region of the limb, back of the foot, or both, in which the reverse sural fasciocutaneous flap with the technique proposed by Carriquiry was used. The cases showed satisfactory esthetic and functional results. Conclusion: The used flap can correct lesions of the lower third of the limbs and foot. It is relatively easy to make, with good vascular supply, and there is no functional loss of the donor area.http://www.rbcp.org.br/export-pdf/2533/en_v34n2a10.pdfreconstructive surgical proceduresleg injuriesfoot injuriessurgical flapssural nerve |
| spellingShingle | Camila Garcia Sommer Aluísio Marino Roma Lauro Arnoldo Ferreira Koehler Cristiane Camargo Ferreira Verena Benedick Coimbra Antonio Roberto Bozola Coverage of the lower third of the limb and foot injuries using reverse sural fasciocutaneous flap described by Carriquiry Revista Brasileira de Cirurgia Plástica reconstructive surgical procedures leg injuries foot injuries surgical flaps sural nerve |
| title | Coverage of the lower third of the limb and foot
injuries using reverse sural fasciocutaneous flap
described by Carriquiry |
| title_full | Coverage of the lower third of the limb and foot
injuries using reverse sural fasciocutaneous flap
described by Carriquiry |
| title_fullStr | Coverage of the lower third of the limb and foot
injuries using reverse sural fasciocutaneous flap
described by Carriquiry |
| title_full_unstemmed | Coverage of the lower third of the limb and foot
injuries using reverse sural fasciocutaneous flap
described by Carriquiry |
| title_short | Coverage of the lower third of the limb and foot
injuries using reverse sural fasciocutaneous flap
described by Carriquiry |
| title_sort | coverage of the lower third of the limb and foot injuries using reverse sural fasciocutaneous flap described by carriquiry |
| topic | reconstructive surgical procedures leg injuries foot injuries surgical flaps sural nerve |
| url | http://www.rbcp.org.br/export-pdf/2533/en_v34n2a10.pdf |
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