Publication: Distally Based Sural Faciocutaneous and Fascial (Adipofascial) Flap for Reconstruction of Distal Leg, Ankle and Foot Defects
Date
2014
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Any soft tissue defect in distal leg, ankle and hind foot is still a challenging problem.
There are various options for coverage of such defects, but the distally based sural
neurocutaneous and neurofascial flap based on the sural nerve and superficial sural
artery has been an important option.
Objective
To evaluate the efficacy of distally based sural flap in reconstruction of the distal
leg, ankle and hind foot soft tissue defects.
Method
Seventeen patients with soft tissue defects over distal leg, ankle and hind foot were
included in this study. All patients were treated with distally based sural flap. Most
of the cases were due to trauma (16 cases) which compromised tendon and bone.
One case was of malignant melanoma of sole of hind foot which required wide
excision and soft tissue reconstruction with sural flap.
Result
In all cases defects were successfully covered. Three showed venous congestion and
partial necrosis. One developed secondary infection. One flap failed completely.
Mean follow up of patients was 20 months (6 – 36 months).
Conclusion
Sural flap is a good option for reconstruction of distal leg, ankle and foot defects.
KEY WORDS
Ankle defect, distally based sural flap, heel defect, leg defect, lower limb
reconstruction.
Description
Parajuli NP,1 Shrestha D,1 Panse N2
1Department of Orthopedics and Trauma
Dhulikhel Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
2Department of Plastic Surgery
B.J Medical College & Sassoon Hospital, Pune, India