LATERAL SUPRAMALLEOLAR FLAP FOR RECONSTRUCTION OF THE DEFECTS OF DISTAL LEG

R. Vivek, Jhansi S, Jaganmohan Janardhanan

Abstract


The aim of this study is to present our experience with and to evaluate the versatility and reliability of the lateral
supramalleolar flap that was used in 20 patients for reconstruction of the distal leg and foot defects. There were 12 males
and 8 females and age ranged from 31 to 50 years. In all cases bone, joint or Achilles tendon was exposed. The follow-up period ranged from 9 to
17 months postoperatively. In 7 cases, we used the island flap and in 13 cases peninsular flap. 2 flaps developed partial superficial necrosis. After
excision of the necrosed part, the soft tissue defect healed spontaneously. In 2 cases, venous congestion was present but resolved. All the patients
were able to leave the hospital within a very short period after surgery (4-day average). Lateral supramalleolar flap is a rapid and reliable procedure
and provides an excellent alternative to reconstruct soft tissue defects of the lower extremity.
CONCLUSION: Depending on the requirement of reach, the same flap can be raised based on different stations of the main source vessel for the
coverage of distal third defects of leg and foot.Lateral supramalleolar flap is a versatile local flap for distal third defects of leg and foot.


Keywords


Lateral supramalleolar flap, Ramus perforans, Island flap, Peninsular flap

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References


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