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MISCELLANEOUS
Year : 2005  |  Volume : 39  |  Issue : 3  |  Page : 169-173

Distally based superficial sural artery flap for soft tissue coverage in the distal 2/3 of leg and foot


Department of Orthopaediocs, Kasturba Medical College, Mangalore, India

Correspondence Address:
B Jagannath Kamath
Jyothi Mansion,1st floor, Opp. Prabhath Talkies, K.S.Rao Road, Mangalore-575001, Karnataka
India
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Source of Support: None, Conflict of Interest: None


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Background: Skin coverage for defects in the lower 2/3 of leg, ankle region and posterior heel has always been a difficult challenge for reconstructive surgeon. Methods: We describe our experience with the distally based superficial sural artery flap coverage in 48 patients with moderate sized defects in these difficult areas. Results: One out of 48 flaps (in 48 patients) was lost totally and 3 suffered marginal necrosis which did not require any secondary procedure. These complications could have been avoided by proper selection of cases and refining technical skills. Conclusion: This simple procedure could be an important and versatile tool for any reconstructive surgeon in providing skin coverage in the distal leg and proximal foot. Preservation of major arteries of the lower limb, minimal donor defect, relatively uninjured donor area in compound fracture or poly trauma involving distal leg are some of the advantages of the flap.


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