NDLI: Colgajo fasciocutáneo sural inverso para cobertura de defectos de partes blandas en pierna, tobillo y pie

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Colgajo fasciocutáneo sural inverso para cobertura de defectos de partes blandas en pierna, tobillo y pie

Content Provider	Semantic Scholar
Author	Iglesias, Santiago Luis Allende, Christian Gutiérrez, Natalia Chavarría Nuñez, Javier Eduardo Ruchelli, Luis
Copyright Year	2014
Abstract	Background: the objective of this paper is to evaluate the results after the use of distally-based reverse fasciocutaneous sural flap in the reconstruction of soft-tissue loss around the distal tibia, ankle and foot. Methods: twenty fasciocutaneous pedicled reverse sural flaps performed between 2007 and 2013 were retrospectively evaluated. Average age of the patients: 42 years (range 6-79), 14 were male and 5 were female. Soft-tissue loss was post-traumatic in 17 cases (one bilateral) and secondary to oncologic resections in two cases. The series included three diabetic patients, one obese woman, and eight smokers. Ten cases had exposed tendons and ten had bony exposure. Defect size averaged 8.9 x 5.75 cm. Results: Follow-up averaged 16 months. Complete soft-tissue defect coverage was achieved in all 20 cases. Hospital stay averaged 3.15 days. Three flaps had superficial necrosis, one flap suffered necrosis of its distal third, and the lower extremity was amputated in a patient due to persistent osteomyelitis. Conclusions: Although multiple coverage options have been described for soft-tissue coverage around the distal tibia, ankle and foot, the reverse sural flap is one of the most frequently used procedures to cover these defects. We evaluated 20 reverse sural flaps, achieving complete soft-tissue coverage in post-traumatic lesions as well as in those defects resulting from oncologic resections.
Starting Page	204
Ending Page	209
Page Count	6
File Format	PDF HTM / HTML
DOI	10.15417/389
Volume Number	79
Alternate Webpage(s)	http://www.aaot.org.ar/revista/2014/n4/colgajo_fasciocutaneo_sural.pdf
Alternate Webpage(s)	http://www.scielo.org.ar/pdf/raaot/v79n4/v79n4a02.pdf
Alternate Webpage(s)	http://www.ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/download/389/200
Alternate Webpage(s)	https://doi.org/10.15417/389
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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