Propeller flap for complex distal leg reconstruction: A versatile alternative when reverse sural artery flap is not feasible

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Synchronous Soleus and Reverse Sural Flap for Large Soft Tissue Defect Reconstruction of Leg

BACKGROUND Extended Soft tissue defect of leg including middle and distal parts always has been a challenge for many plastic surgeons and also a frustrated problem for patients and families. To introduce the use of the soleus muscle and reverse sural flaps as synchronous surgical treatment alternative of the leg bone exposure with large soft tissue defect, this study was conducted. METHODS T...

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Versatility of Reverse Sural Artery Flap for Heel Reconstruction

Introduction: The heel has two parts, weight bearing and non-weight bearing part. Soft tissue heel reconstruction has been a challenge due to its complex nature of anatomy, weight bearing part of foot and the mechanism of injury requiring reconstruction. The pattern of injury includes from simple laceration to a complex wound with loss of soft tissue and fracture involving various degrees of ca...

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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 Reverse Superficial Sural Artery Flap Revisited for Complex Lower Extremity and Foot Reconstruction

BACKGROUND Soft-tissue defects of the distal lower extremity and foot present significant challenges to the reconstructive surgeon. The reverse superficial sural artery flap (RSSAF) is a popular option for many of these difficult wounds. Our initial experience with this flap at multiple institutions resulted in a 50% failure rate, mostly because of critical venous congestion. To overcome this, ...

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Reverse sural flap for ankle and heel soft tissues reconstruction

Introduction: The potential of the medial calf integument, as donor site for a free flap based on musculocutaneous branches of the medial sural artery, was first identified by Taylor and Daniel, following cadaver investigation. In 1981, Pontén described the fasciocutaneous sural flap as a reconstructive option for soft tissue loss of the lower extremity, particularly around the knee. Two years ...

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ژورنال

عنوان ژورنال: Journal of Surgical Technique and Case Report

سال: 2015

ISSN: 2006-8808

DOI: 10.4103/2006-8808.184943