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Cases of Distal Lower Leg Reconstruction with Flexor Digitorum Longus Muscle Flaps
Journal of the Korean Society of Plastic and Reconstructive Surgeons ; : 835-838, 2010.
Artigo em Coreano | WPRIM | ID: wpr-17077
ABSTRACT

PURPOSE:

Reconstruction of soft tissue defects in the distal lower leg, especially in the distal third, largely depends on free tissue transfer and local fasciocutaneous flaps. But several local muscle flaps have also been proposed as useful alternative reconstructive manner. In this report, the authors present the successful use of the flexor digitorum longus muscle flaps in the distal lower leg reconstruction.

METHODS:

Case 1 An 81-year-old woman with a dog bite wound in the left distal lower leg was admitted. She had a 10 x 8 cm wound with tibial exposure along the medial aspect of the leg. Soft tissue reconstruction with a flexor digitorum longus muscle flap and a split-thickness skin graft was performed. Case 2 A 77-year-old woman had a squamous cell carcinoma in the right distal lower leg. After wide excision, a 5 x 4 cm wound was developed with exposure of the tibia. The flexor digitorum longus muscle flap was transposed and covered with a split-thickness skin graft.

RESULTS:

The flexor digitorum longus muscle flaps were shown to be useful to cover tibial defects in the distal lower leg. During the follow-up period, no significant donor site morbidity was found.

CONCLUSION:

The flexor digitorum longus muscle flap can be used to cover the exposed distal tibia, especially when a free tissue transfer is not an option. The relative ease of dissection and minimal functional deficits were the major advantages of this flap, while the extent of reach into the lower third has a limitation.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Piperidonas / Pele / Tíbia / Doadores de Tecidos / Mordeduras e Picadas / Carcinoma de Células Escamosas / Seguimentos / Transplantes / Benzenoacetamidas / Perna (Membro) Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Aged80 / Animais / Feminino / Humanos Idioma: Coreano Revista: Journal of the Korean Society of Plastic and Reconstructive Surgeons Ano de publicação: 2010 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Piperidonas / Pele / Tíbia / Doadores de Tecidos / Mordeduras e Picadas / Carcinoma de Células Escamosas / Seguimentos / Transplantes / Benzenoacetamidas / Perna (Membro) Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Aged80 / Animais / Feminino / Humanos Idioma: Coreano Revista: Journal of the Korean Society of Plastic and Reconstructive Surgeons Ano de publicação: 2010 Tipo de documento: Artigo