OBJECTIVE To determine the outcome of heel and ankle reconstruction with distally-based sural island flap. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY The study was carried out in Plastic Surgery Department, Chittagong Medical College Hospital, from January 2007 to April 2009. METHODOLOGY Twenty two subjects with soft tissue defect of heel and ankle requiring coverage were inclu...

BACKGROUND An animal model of a distal pedicled sural neurocutaneous flap for experimental research has not previously been established. The purpose of this study was to construct a sural neurocutaneous vascular flap model in the rabbit. MATERIALS AND METHODS Thirty-five New England rabbits were divided into four groups. Five rabbits in Group A were used for an anatomical study. Red latex and...

Introduction: The sensory loss and alteration of the shape of the foot make the foot liable to trauma and pressure, and subsequently cause more callus formation, blisters, and ulcers. Foot ulcers usually are liable to secondary infection as cellulitis or osteomyelitis, and may result in amputations. Foot ulcers are a major problem and a major cause of handicaps in leprosy patients. The current ...

INTRODUCTION Coverage of soft tissue defects in the lower leg is often made by use of free flap, also because of the improving of anaesthesiology techniques in the last decades. However, there are disadvantages in the use of free flaps like the need for a remote donor site, increased operative time, use of a major vessel to the leg, and microsurgical skills. Besides these, trauma in the lower l...

BACKGROUND Reconstruction of soft-tissue defects in lower third of leg, ankle, and foot has been a challenge and reconstructive surgeons have been trying to innovate different flaps. To solve this issue, we propose a distally based sural artery peroneus flap (DBSPF) in which we include superficial portion of the peroneus brevis muscle and its blood supply with the peroneal artery distally. The ...

BACKGROUND The thermal burn is accidental and also is the hidden and worst complication of medical plaster application. This study evaluated clinical and aetiological profile and severity of plaster burns. METHODS In Department of Burns, Plastic and Reconstructive Surgery from 1st August 2014 to 31st December 2015, six patients with plaster burn were assessed for total body surface area and ...

Objectives: Distal lower leg wounds, regardless of cause, and acute trauma site, are difficult. Reconstruction both situations much more challenging. Interpolation sural flap is a good alternative for this type reconstruction. Methods: Fourteen interpolation were harvested to reconstruct distal region wounds due trauma. Ten male four female patients aged from 10 59 years old included study. Res...

INTRODUCTION Venous congestion is the main cause of failure in the distally based sural artery flap. Herein, we present our technique of phlebotomy to relieve flap congestion. Venous blood is intermittently drained via an exteriorized segment of the short saphenous vein until flap circulation normalizes. METHODS AND MATERIALS From 2000 to 2005, 34 distally based sural artery flaps were perfor...

BACKGROUND We report on our experience with using a distally based island flap for soft tissue reconstruction of the foot in limb salvage surgery for malignant melanoma patients. METHODS A distally based sural flap was used for 10 cases for the hindfoot reconstruction, and a lateral supramalleolar flap was used for 3 cases for the lateral arch reconstruction of the mid- and forefoot after wid...