Application of Flaps for Coverage of Foot Wounds with Tendon and Bone Exposure Based on a Subunit Principle

Shen, Zhe; Jia, Wan-Xing; Hou, Mengshu; Xie-qing, Huang; Cai, Yan-xian; Wang, Lan; Huang, Yixiong

doi:10.1007/978-3-540-46326-9_15

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Due to the limited availability and mobility of soft tissues around the foot and ankle, this region of the body is highly susceptible to injury [ 1 ]. Soft tissue defects over the foot and ankle commonly occur as a result of trauma, blast injuries, and infection that may involve the bone, tendon, and neurovascular structures [ 2 ]. Other causes include machine/industrial injuries, resection of tumors, and neuropathic ulcers [ 3 ] .…”

Section: Introductionmentioning

confidence: 99%

Comparison of distally based sural artery and supramalleolar flap for coverage of dorsum of foot and ankle defects; a cross-sectional study of 53 patients

Hashmi

Musaddiq

Hashmi

et al. 2022

Annals of Medicine &Amp; Surgery

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Background Soft tissue defects over the foot and ankle region are most challenging in reconstructive surgery. Sural artery and supramalleolar flaps have been commonly used for the reconstruction of non-weight-bearing surfaces of the foot. This article aimed to evaluate the long-term outcome comparisons between a sural artery and Supramalleolar flap in the reconstruction of extensive defects of foot and ankle only. Methods Between 1996 and 2020, a retrospective analysis of 53 fasciocutaneous flaps (27 sural and 26 Supramalleolar) used for reconstruction of soft tissue defects of foot and ankle were reviewed in this study. The parameters included were demographics data, causes, site and size of the defect, flap size, hospital stay, complications, and outcomes in a pre-structured proforma. The clinical outcome was assessed by a Self-Designed Tool based on flap survival, coverage of defect, weight-bearing status, functional activities of daily living, and cosmetic appearance. Data were analyzed through SPSS version 25. Results Among 53 flaps, the major cause of the defect was Trauma (60.4%). The maximum flap size harvested was 25*10 for sural and 20*8 cm for supramalleolar. Complications were seen in 8 (15%) cases in both flaps. Flap tip necrosis and venous congestion were seen in 4 cases. 2 each in Supramalleolar whereas 1 partial necrosis, 1 venous congestion, and 2 infections were seen in the sural artery flap. The flap survival rate in both flaps was 96.2%. Based on the self-designed Tool, flaps were graded Excellent in 43, Good in 8, and Fair in 2 cases. There was no case of Poor in both flaps. Conclusion Compared with the sural artery flap, the lateral supramalleolar flap demonstrated higher rates of functional outcomes although flap tip necrosis was higher in Supramalleolar.

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Section: Introductionmentioning

confidence: 99%

Comparison of distally based sural artery and supramalleolar flap for coverage of dorsum of foot and ankle defects; a cross-sectional study of 53 patients

Hashmi

Musaddiq

Hashmi

et al. 2022

Annals of Medicine &Amp; Surgery

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“…The role of covering these defects of the ankle is to restore the skin stability and mobility while on standing position and to resist to the shearing forces and traumas that can occur by wearing shoes. In addition, restoring a good sensitivity is also to be taken into account [3].…”

Section: Introductionmentioning

confidence: 99%

Interest of a Broad Vessel Carrier of the Sural Neuro-Cutaneous Flap for the Covering of Post-Traumatic Skin Defects of the Ankle and Foot

Ababou¹,

Ribag²,

Fouadi³

et al. 2020

SJMCR

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Original Research ArticleIntroduction: The reconstruction of defects in the foot and ankle is a real challenge for plastic surgeons. Material and methods: A retrospective study of a series made up of 18 patients who benefited, in the plastic surgery department of the Mohamed V Military Hospital in Rabat, from January 2015 to December 31, 2018, of a reconstruction of ankle skin substance loss and of the neck of the foot by a sural neurocutaneous flap with distal pedicle, using a fascio-fatty strip containing the pedicle more than 3cm. while specifying the inclusion and exclusion criteria. Results: We noticed, a male predominance. The average age is 41.6 years old. The coverage interested the internal malleolus in ten cases, the external malleolus in seven cases, and the instep for 3 patients. Ten out of eighteen patients benefited from an intervention in two surgical times, covering the skin defect by the flap with a large pedicle and skin graft of the donor area secondarily. Minimal and manageable complications were noticed. Discussion: Anatomical reminder and the details of our technique, it is a reliable means for covering defects in the instep and ankle, a comparison was made with other plastic surgery procedures. Advantages and disadvantages of our technique; all stressing the need to take a pedicle wide more than three centimeters. Conclusion: A technique of choice for covering losses of substance in the ankle and the instep. The aim of this study was to report our experience and to assess the reliability of this flap by taking a large pedicle.

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Application of Flaps for Coverage of Foot Wounds with Tendon and Bone Exposure Based on a Subunit Principle

Cited by 2 publications

References 15 publications

Comparison of distally based sural artery and supramalleolar flap for coverage of dorsum of foot and ankle defects; a cross-sectional study of 53 patients

Comparison of distally based sural artery and supramalleolar flap for coverage of dorsum of foot and ankle defects; a cross-sectional study of 53 patients

Interest of a Broad Vessel Carrier of the Sural Neuro-Cutaneous Flap for the Covering of Post-Traumatic Skin Defects of the Ankle and Foot

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