ABSTRACT
The posterolateral malleolar flap is one of the neurocutaneous flaps. This study presented the application of this flap for the coverage of skin defect around the ankle joint with a special attention to heel skin defect. It is very reliable flap even in diabetic patients. It was used an island flap on adipofacial pedicle to decrease the morbidity of the donor area
Subject(s)
Humans , Male , Female , Surgical Flaps , Ankle Joint , Plastic Surgery Procedures , Treatment Outcome , AnkleABSTRACT
In this study, an island groin flap was used for a satisfactory reconstruction of soft tissue defects of the lower abdomen and perineal region in eight patients. This flap had several advantages; simple operation, wide range of coverage, large rotation arc, direct closure of the donor site and no sacrifice of muscle in comparison with musculocutaneous flaps. It was of a great value in the reconstruction of lower abdominal wall soft tissue defects with intact underlying fascia or sufficient scarring to prevent herniation. It can be used in the reconstruction of almost all defects in perineal region
Subject(s)
Humans , Male , Female , Fournier Gangrene/surgery , Abdominal Muscles/surgery , Perineum/surgeryABSTRACT
56 subjects of different age groups were included in this study. The age groups were; adolescents, adults, middle-aged and elderly [above 55 years old]. Colorimetric estimations of serum and urine calcium and phosphorus, and serum creatinine were performed, while serum parathyroid hormone [PTH] was estimated by radioimmunoassay [RIA]. Bone mineral density [BMD] of the lumbar vertebra [L2-L4] was estimated by dual photon absorptiometry. Progressive decrease in serum and urine calcium and in serum phosphoros and increase in serum creatinine and immunoreactive parathyroid hormone [iPTH] and urine phosphorus with age was obtained. These changes were statistically highly significant in group D vs. Each of group A and B. Corresponding bone loss that was progressive with age was also obtained. It was also statistically significant when group D was compared with either of A or B