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Distally based peroneus brevis muscle flap: A single centre experience / 中华创伤杂志(英文版)
Chinese Journal of Traumatology ; (6): 108-112, 2019.
Artículo en Inglés | WPRIM | ID: wpr-771624
ABSTRACT
PURPOSE@#Defects around the distal one third of the leg and ankle are difficult to manage by conservative measures or simple split thickness skin graft. Distally based peroneus brevis muscle flap is a well described flap for such defects.@*METHODS@#This is a retrospective analysis conducted on 25 patients with soft tissue and bony defects of distal third of lower leg and ankle, which were treated using distally based peroneus brevis muscle flap from January 2013 to January 2018. Information regarding patient demographics, etiology, size and location of defects and complications were collected. All patients were followed up for at least 3 months after surgery.@*RESULTS@#There were 21 males and 4 females with the mean age of 39 (5-76) years. The most common cause of injuries was road traffic accident, followed by complicated open injury. The average size of defects was 20 (4-50) cm. The mean operating time was 75 (60-90) min for flap harvest and inset. We had no patient with complete loss of the flap. Five patients (20%) had marginal necrosis of the flap and two patients have graft loss due to underlying hematoma and required secondary split thickness skin grafting.@*CONCLUSION@#The distally based peroneus brevis muscle flap is a safe option with reliable anatomy for small to moderate sized defects following low velocity injury around the ankle. The commonest complication encountered is skin graft loss which can be reduced by primary delayed grafting.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Colgajos Quirúrgicos / Estudios Retrospectivos / Estudios de Seguimiento / Resultado del Tratamiento / Traumatismos del Tobillo / Músculo Esquelético / Recolección de Tejidos y Órganos / Tempo Operativo / Traumatismos de la Pierna Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Adolescente / Adulto / Anciano / Niño / Child, preschool / Femenino / Humanos / Masculino Idioma: Inglés Revista: Chinese Journal of Traumatology Año: 2019 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Colgajos Quirúrgicos / Estudios Retrospectivos / Estudios de Seguimiento / Resultado del Tratamiento / Traumatismos del Tobillo / Músculo Esquelético / Recolección de Tejidos y Órganos / Tempo Operativo / Traumatismos de la Pierna Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Adolescente / Adulto / Anciano / Niño / Child, preschool / Femenino / Humanos / Masculino Idioma: Inglés Revista: Chinese Journal of Traumatology Año: 2019 Tipo del documento: Artículo