Distal perforator based cross leg flaps for leg and foot defects

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چکیده

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Sural Versus Perforator Flaps for Distal Medial Leg Wounds.

Soft tissue coverage of distal medial ankle wounds is a challenging problem in orthopedic surgery because of the limited local tissues and prominent instrumentation. Traditionally, these wounds required free tissue transfer to achieve suitable coverage and subsequent bony union. To better respect the reconstructive ladder and to avoid the inherent difficulty of free flap coverage, rotational fl...

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Distally Based Sural Artery Flap: A Workhorse to Cover the Soft Tissue Defects of Distal Leg, Ankle and Foot

Background & Aims: Distal leg, ankle and foot injuries are relatively common; and because of lack of soft tissue and poor blood supply in these areas, one of the common problems in these patients is soft tissue necrosis. Exposed orthopedic implants can be used as open reduction internal fixator (ORIF) in these regions. Methods: During 2013-2014, 14 patients (11 men and 3 women) with a mean age ...

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The Versatility of Perforator-Based Propeller Flap for Reconstruction of Distal Leg and Ankle Defects

Introduction. Soft tissue coverage of distal leg and ankle region represents a challenge and such defect usually requires a free flap. However, this may lead to considerable donor site morbidity, is time consuming, and needs facility of microsurgery. With the introduction of perforator flap, management of small- and medium-size defects of distal leg and ankle region is convenient, less time con...

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Propeller Perforator Flaps in Distal Lower Leg: Evolution and Clinical Applications

Simple or complex defects in the lower leg, and especially in its distal third, continue to be a challenging task for reconstructive surgeons. A variety of flaps were used in the attempt to achieve excellence in form and function. After a long evolution of the reconstructive methods, including random pattern flaps, axial pattern flaps, musculocutaneous flaps and fasciocutaneous flaps, the reapp...

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Revisiting the Fasciocutaneous Perforator Cross-Leg Flap

DESCRIPTION A 23-year-old man sustained an open pilon fracture of the ankle. Fractures were plated. A week later the medial wound dehisced with plate exposure. Good local tissue coverage was not available and free tissue transfer reconstruction was contraindicated because of lack of suitable recipient vessels, as demonstrated by computed tomographic angiography.

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ژورنال

عنوان ژورنال: Indian Journal of Plastic Surgery

سال: 2005

ISSN: 0970-0358

DOI: 10.4103/0970-0358.16490