Sural Artery Flap for Skin Defect of Lower Legs
Journal of the Korean Microsurgical Society
; : 119-124, 2007.
Artículo
en Coreano
| WPRIM (Pacífico Occidental)
| ID: wpr-724796
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE:
We reconstructed the skin defect of lower legs exposing muscles, tendons and bone with fasciocutaneous sural artery flap and report our cases. MATERIALS ANDMETHODS:
Between March 2005 and September 2006, 8 cases of skin defect were reconstructed with fasciocutaneous sural artery flap. Defect site were 4 case of ankle and foot and 4 cases of lower leg. The average defect size was 4x4 cm2. There were 5 men and 3 women and mean age was 52.2 years. We evaluated the viability of flap, postoperative complication, healing time, patient's satisfaction.RESULTS:
There was no flap failure in 8 cases. But recurrent discharge in 2 cases was healed through several times adequate debridement and delayed suture without complication. Flap edema may be due to venous congestion was healed through leg elevation and use of low molecular weight heparin. Mean time to heal the skin defect was 4 weeks. No infection and recurrence in follow up period. Cosmetic results as judged by patients were that 5 cases are good and 3 cases are fair.CONCLUSION:
Sural artery flap is good treatment method among the numerous methods in the cases of skin defect, with soft tissue exposed, which is not covered with debridment and skin graft. Sural artery flap is useful method for the skin defect of lower legs because it is simple procedure, has constant blood supply and relatively good cosmetic effect.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Arterias
/
Recurrencia
/
Piel
/
Suturas
/
Tendones
/
Estudios de Seguimiento
/
Heparina de Bajo-Peso-Molecular
/
Trasplantes
/
Desbridamiento
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Microsurgical Society
Año:
2007
Tipo del documento:
Artículo