Nerve sparing‐distally based sural flap

Aydin, Osman Enver; Tan, Önder; Kuduban, Selma Denktas; Barin, Ensar Zafer

doi:10.1002/micr.20868

Cited by 24 publications

(19 citation statements)

References 33 publications

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“…Furthermore, the major perforator of the medial sural artery is easier to identify than the perforators of other flaps, thus enabling a rather safe and rapid dissection between the deep fascia and the medial gastrocnemius muscle. [14][15][16] Under these circumstances, the surgeon is not only required to cover an existing tissue defect but also to achieve a good-quality and natural-looking reconstructed site. Many factors affect the choice of the flap used for a particular patient, and the reconstructive procedure should be chosen depending on the characteristics of the defects.…”

Section: Discussionmentioning

confidence: 99%

Free‐flap resurfacing of tissue defects in the foot due to large gouty tophi

et al. 2011

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Chronic tophaceous gout can cause severe skin infection and necrosis, even resulting in deformity or sepsis if left untreated. Surgical debridement is inevitable in patients with extensive wounds. We reconstructed the large, ulcerative skin and soft-tissue defects on the dorsum of the foot by performing free-flap reconstruction after adequate debridement and achieved good functional and cosmetic results.

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Section: Discussionmentioning

confidence: 99%

Free‐flap resurfacing of tissue defects in the foot due to large gouty tophi

et al. 2011

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“…In this series of cases, for the soft tissues defects located at the lateral and medial malleolus, pedicled flaps including the sural flap, saphenous flap, pedicled peroneal artery perforator flap, and pedicle tibial artery perforator flap were used because the surgical techniques for transfers of these flaps were not difficult to perform. 10,[21][22][23][24][25][26] The sizes of these flaps were large enough for reconstruction of one subunit of foot and ankle, and the blood supplies of flaps were reliable. Based on our experience, the sural flap and saphenous flap were more reliable in blood supply than the pedicled perforator flaps.…”

Section: Discussionmentioning

confidence: 99%

Foot and ankle reconstruction: An experience on the use of 14 different flaps in 226 cases

Zhu

Wang

et al. 2013

Microsurgery

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The aim of this report was to present our experience on the use of different flaps for soft tissue reconstruction of the foot and ankle. From 2007 to 2012, the soft tissue defects of traumatic injuries of the foot and ankle were reconstructed using 14 different flaps in 226 cases (162 male and 64 female). There were 62 pedicled flaps and 164 free flaps used in reconstruction. The pedicled flaps included sural flap, saphenous flap, dorsal pedal neurocutaneous flap, pedicled peroneal artery perforator flap, pedicled tibial artery perforator flap, and medial plantar flap. The free flaps were latissimus musculocutaneous flap, anterolateral thigh musculocutaneous flap, groin flap, lateral arm flap, anterolateral thigh perforator flap, peroneal artery perforator flap, thoracdorsal artery perforator flap, medial arm perforator flap. The sensory nerve coaptation was not performed for all of flaps. One hundred and ninety-four cases were combined with open fractures. One hundred and sixty-two cases had tendon. Among 164 free flaps, 8 flaps were completely lost, in which the defects were managed by the secondary procedures. Among the 57 flaps for plantar foot coverage (25 pedicled flaps and 32 free flaps), ulcers were developed in 5 pedicled flaps and 6 free flaps after weight bearing, and infection was found in 14 flaps. The donor site complications were seen in 3 cases with the free anterolateral thigh perforator flap transfer. All of limbs were preserved and the patients regained walking and daily activities. All of patients except for one regained protective sensation from 3 to 12 months postoperatively. Our experience showed that the sural flap and saphenous flap could be good options for the coverage of the defects at malleolus, dorsal hindfoot and midfoot. Plantar foot, forefoot and large size defects could be reconstructed with free anterolateral thigh perforator flap. For the infected wounds with dead spce, the free latissimus dorsi musculocutaneous flap remained to be the optimal choice.

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“…Soft‐tissue defects of the extremities in children put forward a delicate problem for the reconstructive surgeons, especially when nerves, vessels, bones, and tendons are exposed. Some regional flaps have been used to reconstruct the extremity .…”

Section: Discussionmentioning

confidence: 99%

Free deep inferior epigastric artery perforator flap for reconstruction of soft‐tissue defects in extremities of children

et al. 2013

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The deep inferior epigastric artery perforator (DIEP) flap has been a valuable tool in breast reconstruction, but seldom in extremity reconstruction. The aim of this report is to present our experience on the use of the DIEP flap for reconstruction of soft-tissue defects in the extremities of pediatric patients. From January 2007 to February 2011, 22 consecutive free DIEP flap transfers were performed for reconstruction of complex soft-tissue defects in the extremities of children with a mean age of 5.7 years old (ranging 2-10 years old). The flap design included transverse, oblique, and irregular DIEP flaps, containing one to three perforators in the flap. The flap size ranged from 7 × 4 cm to 18 × 17 cm. Primary donor-site closure was accomplished in all of patients. The postoperative course was uneventfully in most of cases. The venous congestion was observed in two cases. One case of venous congestion was caused by flap inset with tension. The other case with venous thrombosis ended with partial loss of the flap after salvage procedure. There was one total flap loss due to the arterial thrombosis. The flap survival rate was 95.5%. The mean follow-up was 12 months (ranging 6-36 months). All reconstructed extremities had satisfactory aesthetic and functional outcomes except two cases undergoing the secondary debulking procedures. The donor sites healed well in all cases without complications. Our experience showed that the free DIEP flap could be an alternative for reconstruction of soft-tissue defects in the extremities of children.

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Nerve sparing‐distally based sural flap

Cited by 24 publications

References 33 publications

Free‐flap resurfacing of tissue defects in the foot due to large gouty tophi

Free‐flap resurfacing of tissue defects in the foot due to large gouty tophi

Foot and ankle reconstruction: An experience on the use of 14 different flaps in 226 cases

Free deep inferior epigastric artery perforator flap for reconstruction of soft‐tissue defects in extremities of children

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