Mid-leg fasciocutaneous island flap without sural nerve

Masquelet A.C et al proposed a concept of a neuroskin flap using accompanying arteries of the cutaneous nerves and reported some clinical cases where the sural nerve was used. Sural nerve should be included in this flap (sural flap). The flap is outlined at the function of the relief of two heads of gastrocnemius. We used 8 distally based sural island flaps without sural nerve for leg and foot reconstruction. The island cutaneous is collected from two-third upper in the posterior portion of the leg. Here, the fasciocutaneous flap based only on the accompanying artery of the extreme saphenous vein. The sural nerve can be preserved without including in the flap.

Early results of distal pedicle fasciocutaneous flap for missing soft tissue at 1/3 under of leg, ankle and back of heel: a review 8 cases

Distal pedicle fasciocutaneous flap has good survival due to it is designed based on blood supply from consistent vascular pedicle. Blood perfusion is excellent in all 8 flaps. Leg cosmetic was not affected. The surgical procedure involves only one stage and is easy to use widely. The procedure appears have superiors and can overcome disadvantages of adjacent regional flaps

Cover small skin and soft tissue defects of wrist, hand and thumb by reverse posterior inter-osseous skin flaps

33 cases of posterior inter-osseous island flaps with reverse flow were done at the Reconstructive Microsurgery Department, Center for Trauma and Orthopedics of Ho Chi Minh City from January 1997 to September 1998. These flap transfers were used to cover small skin and soft tissue defects of wrist, hand thumb and MP Joint areas. The total surface of the island flap is from 32-60 cm2, the pedicle length is from 08-12cm. The survival rate was 94%, the graft skin was supplied, with very little fibrous and contractile scar. There was no sensibility except 03 were gradually recovered up to S1-S2. The conveniences of this procedure were acceptable: easy to perform, unnecessary to scarify a main artery and the survival rate of the flap is high. This island flap is always suitable to relapse the Chinese island flap in some indications.

Transferring free scapular flap using microsurgical technique for large soft tissue missing in leg and foot areas

12 cases that were treated successfully by microsurgery in the Department of Plastic Surgery, Military Hospital 108 are involved in study. At time of operation, there were 7 cases with sub-acute infection and 3 cases with chronic infection. The scapular flaps used in procedure had not sense nerves. However, the flaps met requirements of treatment for large skin missing in sole of foot. This procedure is performed when there are not indications of conventional therapeutic methods or island and sub-island vascular stem flaps.

Primarily study on the operation of transfer of distal pedicular cutunonervous flap in the treatment of soft tissue defects in the knee and foot cerveix

Vascularized sural flap with distal pedicle is using for covering of soft tissue defect of the heel-ankle region, when there are no impossibility for the internal plantar flap. With the application on 9 patients, we have the incidence of : -Excellent result: 7- Good result: 2. We hope that we could have good appreciation in future after we have worked on many patients