Distally based lateral supramalleolar flap for reconstructing distal foot defects in India: a prospective cohort study

Raja Kiran Kumar Goud, Lakshmi Palukuri, Sanujit Pawde, Madhulika Dharmapuri, Swati Sankar, Sandeep Reddy Chintha
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Abstract

Purpose: Defects involving the ankle and foot are often the result of road traffic accidents. Many such defects are composite and require a flap for coverage, which is a significant challenge for reconstructive surgeons. Various locoregional options, such as reverse sural artery, reverse peroneal artery, peroneus brevis muscle, perforator-based, and fasciocutaneous flaps, have been used, but each flap type has limitations. In this study, we used the distally based lateral supramalleolar flap to reconstruct distal dorsal defects of the foot. The aim of this study was to analyze the efficacy of the flap in reconstructing distal dorsal defects of the foot. The specific objectives were to study the adequacy, reach, and utility of the lateral supramalleolar flap for distal defects of the dorsum of the foot; to observe various complications encountered with the flap; and to study the functional outcomes of reconstruction.Methods: The distal dorsal foot defects of 10 patients were reconstructed with distal lateral supramalleolar flaps over a period of 6 months at a tertiary care center, and the results were analyzed.Results: We were able to effectively cover distal foot defects in all 10 cases. Flap congestion was observed in two cases, and minor graft loss was seen in two cases. Conclusions: The distally based lateral supramalleolar flap is a good pedicled locoregional flap for the coverage of distal dorsal foot and ankle defects of moderate size, with relatively few complications and little morbidity. It can be used as a lifeboat or even substitute for a free flap.
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远端外侧踝上皮瓣重建远端足缺损在印度:一项前瞻性队列研究
目的:涉及脚踝和足部的缺陷通常是道路交通事故的结果。许多这样的缺损是复合的,需要皮瓣来覆盖,这对重建外科医生来说是一个重大的挑战。不同的局部区域选择,如腓肠反动脉、腓腓反动脉、腓短肌、穿支皮瓣和筋膜皮瓣,已被使用,但每种皮瓣类型都有局限性。在本研究中,我们使用远端外侧踝上皮瓣重建足背远端缺损。本研究的目的是分析皮瓣重建足背远端缺损的效果。具体目的是研究外侧踝上皮瓣在足背远端缺损中的充分性、伸及性和实用性;观察皮瓣的各种并发症;并研究重建的功能结果。方法:对10例足背远端缺损患者进行6个月的踝上远端外侧皮瓣修复,并对修复结果进行分析。结果:我们能够有效地覆盖所有10例远端足缺损。2例出现皮瓣充血,2例出现轻微移植物丢失。结论:远端外侧踝上皮瓣是修复足背远端和踝关节中等大小缺损的良好带蒂局部皮瓣,并发症相对较少,发病率低。它可以用作救生艇,甚至可以代替自由襟翼。
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发文量
58
审稿时长
11 weeks
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