Utilizing a Crossover Reverse Sural Artery Flap for Soft Tissue Reconstruction of the Plantar Forefoot After a Severe Degloving Injury

2007 ◽  
Vol 6 (2) ◽  
pp. 114-119 ◽  
Author(s):  
Thomas Zgonis ◽  
Douglas T. Cromack ◽  
John J. Stapleton
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Reconstruction ◽  
Degloving Injury ◽  
Tissue Reconstruction ◽  
Sural Artery

scholarly journals Reverse sural artery fasciocutaneous flap in soft tissue reconstruction in lower extremity

2020 ◽  
Vol 10 (3) ◽  
pp. 84-87
Author(s):  
Suresh Pandey ◽  
Suraj Bidary
Keyword(s):  
Soft Tissue ◽  
Demographic Data ◽  
Soft Tissue Defect ◽  
Soft Tissue Reconstruction ◽  
Superficial Infection ◽  
Pedicle Flap ◽  
Satisfactory Outcome ◽  
Flap Procedure ◽  
Tissue Reconstruction ◽  
Sural Artery

Background: Soft tissue defect around distal leg, ankle and heel region is a challenging task for an orthopaedic surgeon. Sural artery reverse fasciocutaenous flap has been widely used and is a successful method for soft tissue reconstruction in such situation. This study aimed to find out the result of sural artery distal based pedicle flap in managing soft tissue recon­struction around the ankle and distal leg. Methods: This was a retrospective study of 12 cases of sural artery based fasciocutaenous flap done between January 2015 to December 2019. Medical records were used to find the details of demographic data, operative details and post-operative status of the patients. Patients were contacted for the final follow up at minimum of 6 months after operation for assessment of the outcome. Demographic and clinical data were entered in excel chart and the clinical result was analyzed using SPSS software version 20.0. Results: There were total of 12 patients who underwent sural artery flap procedure. Among them, 10 were male and 2 females with mean age of 39 (range, 25-52) years. Eleven flaps survived with satisfactory functional outcome. One had complete flap necrosis, two had patchy margin necrosis and two had superficial infection which healed well with minor debridement and antibiotics. Conclusions: Sural artery based reverse fasciocutaenous flap is good and technically easier option for an orthopaedic surgeons for the soft tissue reconstruction around ankle, heel and distal leg in traumatic, infective or other etiology with satisfactory outcome in most of the patients.

Reverse sural artery flap: a reliable alternative for foot and ankle soft tissue reconstruction

2018 ◽  
Vol 29 (2) ◽  
pp. 367-372 ◽  
Author(s):  
Anastasios Korompilias ◽  
Ioannis Gkiatas ◽  
Maria Korompilia ◽  
Dimitrios Kosmas ◽  
Ioannis Kostas-Agnantis
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Reconstruction ◽  
Foot And Ankle ◽  
Tissue Reconstruction ◽  
Sural Artery

The free medial sural artery perforator flap: Versatile option for soft tissue reconstruction in small-to-moderate size defects of the foot and ankle

Microsurgery ◽  
2016 ◽  
Vol 38 (1) ◽  
pp. 34-45 ◽  
Author(s):  
Zaher Jandali ◽  
Martin C. Lam ◽  
Kiomars Aganloo ◽  
Benedikt Merwart ◽  
Jouke Buissink ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Perforator Flap ◽  
Soft Tissue Reconstruction ◽  
Foot And Ankle ◽  
Moderate Size ◽  
Tissue Reconstruction ◽  
Sural Artery ◽  
Artery Perforator

Single Stage Reconstruction of Posterior Soft Tissue Ankle Defects with a Free Anterolateral Thigh Flap and Rolled Tensor Fascia Lata for Functional Tendo-Achilles Reconstruction - A Case Report and Review of the Literature

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Bagirathan S ◽  
◽  
Ibrahim N ◽  
Patel NG ◽  
◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Fascia Lata ◽  
Single Stage ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Tensor Fascia Lata ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction ◽  
Sural Artery

Soft tissue defects in the posterior ankle region with underlying Achilles tendon loss pose a reconstructive challenge to both Orthopaedic and Plastic surgeons. Such injuries can result in a severely debilitating sequelae for the patient, therefore reconstruction of the area must provide reliable function and durability with minimal complications and aesthetically pleasing results to enable normal foot wear. We describe the case of a twenty-seven year old male, who presented following a traumatic open rupture of the Achilles tendon and failed reverse sural artery flap. We performed a single stage composite soft tissue reconstruction with a free anterolateral thigh (ALT) flap and rolled vascularised Tensor Fascia Lata (TFL) for functional Achilles tendon reconstruction. The patient had no post-operative complications and was able to fully weight bear and dorsiflex his foot beyond ninety degrees at seven month follow-up. Whilst many options are available to reconstruct this area, we review the literature to illustrate the advantages of using this technique to achieve all of the above factors, and advocate for all foot and ankle surgeons to be aware of its use in their reconstructive repertoire.

Autologous Fat Transfer and Cell-Based Strategies for Soft Tissue Reconstruction

2014 ◽  
Vol 3 (1) ◽  
pp. 62-69
Author(s):  
Kshemendra Senarath-Yapa ◽  
Rebecca Garza ◽  
Adrian McArdle ◽  
Graham Walmsley ◽  
Michael Hu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Reconstruction ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Tissue Reconstruction

scholarly journals Radical treatment of severe open fractures of extremities by orthoplastic surgery: a 10-year retrospective study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zhao Yang ◽  
Chao Xu ◽  
Yong-Gang Zhu ◽  
Jun Li ◽  
Zi-Xiang Wu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Infection Rate ◽  
Clinical Data ◽  
Open Fractures ◽  
Soft Tissue Reconstruction ◽  
Satisfactory Outcome ◽  
Tissue Damages ◽  
Tissue Reconstruction ◽  
Severe Soft Tissue

Abstract Objective This study aimed to retrospectively analyze clinical data of a series of patients with severe open fractures of extremities (Gustilo IIIb or IIIc), who achieved a satisfactory outcome through radical orthoplastic surgery, so as to provide a reference for determining the treatment of severe open fractures of extremities. Methods The clinical data of 41 consecutive patients with severe open fracture (Gustilo IIIb or IIIc) of the limb, who underwent successful surgical debridement, fixation, and soft tissue reconstruction in one stage between January 2008 and January 2019, were retrospectively reviewed. Postoperative indicators, including infection rate and union time, were acquired by a regular follow-up and analyzed. Results The mean (±SD) age of the patients was 38 ± 16 years. A total of 90 open fractures and severe soft tissue damages were analyzed. The soft tissue cover was achieved within 72 h. The overall rate of infection was 14.6% (6/41). Sex and the Mangled Extremity Severity Score were associated with infection. The median union time of 40 patients (one amputation) was 32 weeks. Conclusion The overall rate of infection exhibited a lower tendency in this study compared with previous studies on high-grade open fractures following a two-stage orthopedic approach. The consequence of infection rate and union time was similar to that in previous studies. These results indicated that the single-stage radical orthoplastic treatment was an effective and reliable option for reconstructing severe open fractures.

Soft-Tissue Reconstruction of External Hemipelvectomy Defects

2009 ◽  
Vol 124 (1) ◽  
pp. 144-155 ◽  
Author(s):  
Alex Senchenkov ◽  
Steven L. Moran ◽  
Paul M. Petty ◽  
James Knoetgen ◽  
Nho V. Tran ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Reconstruction ◽  
Tissue Reconstruction
Sign in / Sign up

Export Citation Format

Share Document