Lower leg reconstruction using distally based saphenous island flap

Lower leg reconstruction using distally based saphenous island flap Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defect was trauma in eight cases; unstable scar in two and the remaining cases had chronic osteomyelitis, pathological fracture, chronic non-healing ulcer, and diabetic foot. Each defect was covered by a distally based saphenous neurocutaneous island flap. Clinically, the flaps ranged in size from 4×5 cm to 18×8 cm. Nine flaps survived completely, two had marginal necrosis, another two had partial necrosis while one flap was lost completely. However, the fascia in failed flaps survived, allowing subsequent grafting. The distally based saphenous neurocutaneous island flap is a simple, versatile, one-stage procedure with a good arc of rotation and it does not require sacrifice of a major artery. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Lower leg reconstruction using distally based saphenous island flap

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Publisher
Springer-Verlag
Copyright
Copyright © 2001 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380000205
Publisher site
See Article on Publisher Site

Abstract

Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defect was trauma in eight cases; unstable scar in two and the remaining cases had chronic osteomyelitis, pathological fracture, chronic non-healing ulcer, and diabetic foot. Each defect was covered by a distally based saphenous neurocutaneous island flap. Clinically, the flaps ranged in size from 4×5 cm to 18×8 cm. Nine flaps survived completely, two had marginal necrosis, another two had partial necrosis while one flap was lost completely. However, the fascia in failed flaps survived, allowing subsequent grafting. The distally based saphenous neurocutaneous island flap is a simple, versatile, one-stage procedure with a good arc of rotation and it does not require sacrifice of a major artery.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Feb 2, 2001

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