The Posterolateral Malleolar Flap of the Ankle

Oberlin, C.; Azoulay, B.; Bhatia, Anil

doi:10.1097/00006534-199508000-00021

Cited by 60 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Grabb and Argenta [7] and Oberlin et al [8] reported using other flaps for the correction of defects of the heel. Muscle flaps for the distal third of the leg, ankle, and heel are of limited use, and local muscle flaps are not a reliable reconstructive option in this region [9].…”

Section: Discussionmentioning

confidence: 99%

Lesch–Nyhan syndrome: Reconstruction of a calcaneal defect with a sural flap

Kesiktaş¹,

Gencel²,

Acartürk³

2006

Scandinavian Journal of Plastic and Reconstructive Surgery and

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Lesch–Nyhan syndrome: Reconstruction of a calcaneal defect with a sural flap

Kesiktaş¹,

Gencel²,

Acartürk³

2006

Scandinavian Journal of Plastic and Reconstructive Surgery and

View full text Add to dashboard Cite

show abstract

“…In 1993, Wu et al studied twenty legs of ten cadavers to establish the vascular anatomy of the posterior tibial vessels including the number, size and distribution of the direct cutaneous and direct muscle branches of the posterior tibial vessels. 9 Flaps of the posterior side of the lower leg were reported by Masquelet et al (1992), 10 Hasegawa et al (1994), 11 Hyakusoku et al (1994), 12 Oberlin et al (1995), 13 and Rajacic et al (1996) 14 corresponded to the distally based lesser saphenous-sural V-NAF flap. They observed that most of the venous blood returned first to the trunk of the lesser saphenous vein.…”

Section: Introductionmentioning

confidence: 95%

“…They observed that most of the venous blood returned first to the trunk of the lesser saphenous vein. [10][11][12][13][14] The observations of Imanishi et al (1999) showed that direct reflux through the valves in the lesser saphenous vein did not occur. 15 Small concomitant veins were found by them along both sides of the lesser saphenous vein and considered to be venae concomitants of accompanying arteries of the vain.…”

Section: Introductionmentioning

confidence: 99%

The Clinical Outcome of Perforator Based Sural Artery and Propeller Flaps in Reconstruction of Soft Tissue of Extremities

Dhua¹,

Sankhe

Tilak³

2019

wjps

View full text Add to dashboard Cite

BACKGROUNDThe reconstructive options for the soft tissues in extremities present serious challenges due to thin non-expendable soft tissues and predisposition to massive edema formation, thus frequently requiring flap cover. This study was undertaken to assess the outcome of a modified version of the sural artery flap with that of propeller perforator flaps for the reconstruction of lower extremities, particularly the heel defects. METHODS This prospective study was conducted on 40 consecutive patients, of which 20 treated with sural artery flap and another 20 with perforator based propeller flap cover for soft tissue reconstruction in extremities based on predefined inclusion criteria. The clinical outcome of the flap was assessed after three months. RESULTSInclusion of the posterior tibial perforators (along with the sural artery and the peroneal artery) was shown to enhance the flap territory. The raising of the flap was quick with minimal blood loss and the modified flap had a wide arc of rotation for reconstruction of the heel defects. The younger patients regained sensation on the flap earlier, while the durability of the fasciocutaneous flap was excellent in the heel weight bearing areas. The success rate was 95% flap take. CONCLUSION Careful selection of the perforator and optimal designing of the flap result in favorable outcomes with the use of local perforator flaps for reconstruction in extremities. It provides predictable clinical outcomes with minimal donor site morbidity, is costeffective, relatively easy technique and requires no special microsurgical setup or instruments.

show abstract