Fasciocutaneous flaps in resurfacing of chronic ulcers of the buttock and the lower limb

ABSTRACT

Fasciocutaneous flaps have challenged some principles such as the safe length width ratio, and the concept that flaps should be proximally based in the leg. This article aiming the effectiveness of different types of fasciocutaneous flaps in covering the chronic ulcers of the buttocks and the lower limbs. Fasciocutaneous flaps were used in the treatment of 35 patients suffering from chronic ulcers of buttock and lower limb due to different etiologies during the period from August 2000 and December 2004. 9 patients with buttock ulcer, 15 patients with ulcer of leg and 11 patients with ulcer of ankle and foot. From 35 fasciocutaneous flap performed, 3 flaps were lost due to obesity, atherosclerosis, hematoma formation under the flap and subsequent severe sepsis, in another 3 patients partial skin graft loss from the donor site were recorded