medigraphic.com
ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2011, Number 1

<< Back Next >>

Cir Plast 2011; 21 (1)

Reconstruction of the distal third of the leg and heel with reverse sural flap in the Hospital Dr. Gustavo Baz Prada. ISEM

Bravo RL, González BJS, Martínez LRC, Sánchez GÓA, Pérez MIB, López MIJ

Language: Spanish
References: 10
Page: 39-44
PDF size: 129.70 Kb.


ABSTRACT

The distal portion of the leg and the heel presents a scarce quantity of local and regional tissues available for reconstruction in case of trauma or illness that require repairing of the skin cover; this enables the exposure of frail tissue or osteosynthesis material which can lead to worsening of the underlying disease. It is important to have reliable fasciocutaneous flaps to solve this type of problems. The reverse flow sural flap has been widely used to cover skin of these areas. At the Dr. Gustavo Baz Prada General Hospital eleven reverse sural flaps for skin cover of traumatic injuries on the distal third of the leg and the heel were carried out with good results. In 6 cases there were no complications (54%), four cases had minimal flap loss (36%) and one case had a complete flap loss (9%). Our results show that reverse sural flaps are a valid alternative for the covering of wounds of the distal portion of lower extremities, without the need of microsurgical support and minimal morbility.


REFERENCES

  1. Masquelet AC, Romana MC, Wolf G. Skin island flaps supplied by the vascular axis of the sensitive superficial nerves: Anatomic study and clinical experience in the leg. Plast Reconstr Surg 1992; 89: 1115.

  2. Taylor GI, Pan WR. Angiosomes of the leg: anatomic study and clinical implications. Plast Reconstr Surg 1998; 102: 599.

  3. Follmar KE, Baccarani A, Bausmeister SP, Scott LL, Erdmann D. The distally based sural flap. Plast Reconstr Surg 2007; 119: 138e.

  4. Hollier L, Sharma S. Versatility of the sural fasciocutaneous flap in the coverage of lower extremity wounds. Plast Reconstr Surg 2002; 110: 1673.

  5. Le Fourn B, Caye N, Pannier M. Distally based sural fasciomuscular flap: anatomic study and application for filling leg or foot defects. Plast Reconstr Surg 2001; 107: 67.

  6. Almeida MF, Da Costa PR, Okawa RY. Reverse-flow island sural flap. Plast Reconstr Surg 2002; 109: 583.

  7. Ayyappan T, Chadha A. Super sural neurofasciocutaneous flaps in acute traumatic heel reconstructions. Plast Reconstr Surg 2002; 109: 2307.

  8. Seng-Feng J, Fu-Chan W. Distally based sural island flap for foot and ankle reconstruction. Plast Reconstr Surg 1997; 99: 744.

  9. Kneser U, Bach A, Polikandriotis E, Kopp J, Horch RE. Delayed reverse sural flap for staged reconstruction of the foot and lower leg. Plast Reconstr Surg 2005; 116: 1910.

  10. Al-Qattan MM. The reverse sural fasciomusculocutaneous «mega-high» flap. A study of 20 consecutive flaps for lower-limb reconstruction. Ann Plast Surg 2007; 58: 513.




2020     |     www.medigraphic.com