Clinical Application of the Delayed Procedure in the Distally Based Sural Flap
Journal of the Korean Society of Plastic and Reconstructive Surgeons
;
: 775-778, 2010.
Article
Dans Coréen
| WPRIM
| ID: wpr-17089
ABSTRACT
PURPOSE:
Reconstruction of soft tissue defects with osteomyelitis in the lower third of the leg represents a challenge to plastic surgeons. Moreover, it is more arduous in multimorbid patients. One excellent option for reconstruction of these defects is to use a delayed distally based sural flap.METHODS:
We successfully used delayed distally based sural flap with a two-step procedure. During the first operation, radical debridement and elevation of flap were performed. The raised flap was fixed again at the donor site. The delay period ranged from seven to ten days. Between August 2008 and July 2009, we underwent operations for five patients using this technique. The size of flap varied from 10 x 6 cm to 12 x 14 cm.RESULTS:
All flaps successfully survived. Partial skin loss of the grafted site was seen in two patients but no further surgical procedure was required for wound healing. Complaints of hypoesthesia on the lateral part of the foot was observed. In a three month follow-up period, hypoesthesia was resolved spontaneously.CONCLUSION:
Delayed procedure improves the viability of distally based sural flap in high risk, critically multimorbid patients. We recommend that, if a two-stage operative approach is required, the delayed procedure should be considered.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Composés chimiques organiques
/
Ostéomyélite
/
Peau
/
Donneurs de tissus
/
Cicatrisation de plaie
/
Études de suivi
/
Transplants
/
Débridement
/
Pied
/
Hypoesthésie
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Année:
2010
Type:
Article
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