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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2005, Number 3

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Cir Plast 2005; 15 (3)

Reversed Flow Island Sural Flap for lower third of the leg reconstruction in trauma wounds

Sierra-Martínez E, Cienfuegos-MR

Language: Spanish
References: 10
Page: 145-149
PDF size: 149.41 Kb.


ABSTRACT

The reverse flow island sural flap is presented as an alternative for reconstruction of the distal third of the leg and ankle in trauma wounds. This flap is based on the reverse flow of the superficial median sural artery which depends on the perforators of the peroneal artery. Fourteen reversed flow sural flaps were performed in the Maxillofacial and Plastic and Reconstructive Surgery Service of the Hospital de Traumatología y Ortopedia “Lomas Verdes” of the Mexican Institute of Social Security, to cover skin defects of the distal third of the leg in patients with ankle trauma due to crush injuries, fractures and previous orthopedic surgical treatment. Thirteen flaps healed without complications, just one flap had superficial necrosis that was solved with a skin graft. Taking the results into account we think that the reverse flow island sural flap is an excellent option for reconstruction of the distal third of the leg and ankle in trauma wounds.


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. 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: 67-72.

  3. Mustafa A, Tunç S, Erhan S, Ömer Ö, Abdullah K. A new flap design: Neural-island flap. Plast Reconstr Surg 2004; 114: 1467-1476.

  4. Figueiredo M, Almeida P, Da Costa P, Yukio O. Reverse-Flow island sural flap plast. Reconstr Surg 2002; 119: 583-591.

  5. Yang D, Steven F, Morris M. Reversed sural island flap supplied by the lower septocutaneous perforator of the peroneal artery. Ann Plast Surg 2002; 49: 375-378.

  6. Hollier L, Sharma S, Babigumira E, Klebuc M. Versatility of the sural fasciocutaneous flap in the coverage of lower extremity wounds. Plast Reconstr Surg 2002; 110: 1673 -1779.

  7. Shivram S, Anas N. Use of distally based superficial sural island artery flaps in acute open fractures of the lower leg. Ann Plast Surg 2001; 47: 505-510.

  8. Serkan Y, Mithat A, Tayfun A. Soft-Tissue reconstruction of the foot with distally based neurocutaneous flaps in diabetic patients. Ann Plast Surg 2002; 48: 258-264.

  9. Touam C, Rostoucher P, Bhatia P, Oberlin C. Comparative study of two series of distally based fasciocutaneous flaps for coverage of the lower one-fourth of the leg, the ankle and the foot. Plast Reconstr Surg 2001; 107: 383-392.

  10. Jeng S, Wei F. Distally based sural island flap for foot and ankle reconstruction. Plast Reconstr Surg 1997; 99: 774 -750.




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