Delayed Reverse Sural Flap for Cover of Heel Defect in a Patient With Associated Vascular Injury. A Case Report

Indian Journal of Surgery - Tập 75 - Trang 148-149 - 2012
Faizal Ali1, Hanafiah Harunarashid2, Khandasamy Yugasmavanan1
1Plastic Surgery Unit, Department of Surgery, University Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
2Vascular Surgical Unit, Department of Surgery, University Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia

Tóm tắt

The delay reverse sural neurofasciocutaneous flap is used to reconstruct soft tissue defects in the lower third of the leg to improve outcome in patients with associated comorbidities such as diabetes mellitus, hypertension, hypercholesterolaemia, smokers and ischaemic heart disease. The author reports the use of a delayed reverse sural flap as soft tissue cover for a calcaneal defect in a patient with associated comorbidities who has an ipsilateral Gred 3C (Gustilo) tibial fracture after vascular reconstruction.

Tài liệu tham khảo

Erdmann D, Gottlieb N, Humphrey JS et al (2005) Sural flap delay procedure: a preliminary report. Ann Plast Surg 54:562–565 Costa-Ferreira A, Reis J, Pinho C et al (2001) The distally based island superficial sural artery flap: clinical experience with 36 flaps. Ann Plast Surg 46:308–313 Jeng S, Wei F (1997) Distally based sural island flap for foot and ankle reconstruction. Plast Reconstr Surg 99:744–750 Masquelet AC, Romana MC, Wolf G (1992) Skin island flaps supplied by the vascular axis of the sensitive superficial nerves: anatomic study and clinical experience. Plast Reconstr Surg 89:1115–1121 Baumeister SP, Spierer R, Erdmann D et al (2003) A realistic complication analysis of 70 sural artery flaps in a multi-morbid patient group. Plast Reconstr Surg 112:129–140 Fisher J, Gingrass MK (1997) Basic principles of skin flaps. In: Georgiade GS, Riefkohl R, Levin LS (eds) Plastic, maxillofacial and reconstructive surgery. Williams and Wilkins, Baltimore, pp 22–24 Dhar SC, Taylar GI (1999) The delay phenomenon: the story unfolds. Plast Reconstr Surg 104:2079–2091 Bishara SA, Maher MH, Ahmad MT et al (1997) Early microvascular reconstruction of Gustilo type III-C lower extremity wound: case report. Scan J Plast Reconstr Surg Hand Surg 31(4):351–355