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Quirino AC, Viegas KC. Fasciocutaneous flaps for covering foot and ankle injuries. Rev Bras Ortop. 2014;49(2):183-8doi: 10.1016/j.rboe.2014.03.004.
Quirino, A. C., & Viegas, K. C. (2014). Fasciocutaneous flaps for covering foot and ankle injuries. Revista brasileira de ortopedia, 49(2), 183-8. https://doi.org/10.1016/j.rboe.2014.03.004
Quirino, Alexandre Carvalho, and Viegas, Karen Cristina. "Fasciocutaneous flaps for covering foot and ankle injuries." Revista brasileira de ortopedia vol. 49,2 (2014): 183-8. doi: https://doi.org/10.1016/j.rboe.2014.03.004
Quirino AC, Viegas KC. Fasciocutaneous flaps for covering foot and ankle injuries. Rev Bras Ortop. 2014 Mar 18;49(2):183-8. doi: 10.1016/j.rboe.2014.03.004. eCollection 2014. PMID: 26229797; PMCID: PMC4511746.
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Rev Bras Ortop. 2014 Mar 18;49(2):183-8. doi: 10.1016/j.rboe.2014.03.004. eCollection 2014.

Fasciocutaneous flaps for covering foot and ankle injuries.

Revista brasileira de ortopedia

Alexandre Carvalho Quirino, Karen Cristina Viegas

Affiliations

  1. Hand Surgery Service, Hospital São João de Deus, Divinópolis, MG, Brazil.
  2. Universidade Federal de São João Del Rei, São João Del Rei, MG, Brazil.

PMID: 26229797 PMCID: PMC4511746 DOI: 10.1016/j.rboe.2014.03.004

Abstract

OBJECTIVE: to present some cases from our service and to confirm that sural and lateral supramalleolar flaps are good options for covering the soft tissues of the foot and ankle.

METHODS: twenty-two flaps were constructed in 21 patients of ages ranging from 15 to 72 years. Male patients predominated (66.6%) and in 47.6% of the cases the injury resulted from accidents involving motorcycles.

RESULTS: among the 22 flaps, 12 were sural and 10 were lateral supramalleolar; in one case, two flaps were used. In all the cases, the injuries were successfully covered and the patients recovered well. During the postoperative follow-up, the commonest complication was epidermolysis, occurring in eight cases (three in a sural flap and five in a supramalleolar flap), among which two cases progressed to distal necrosis of the flap (one sural and the other supramalleolar). One patient wanted the flap reviewed for esthetic reasons.

CONCLUSIONS: sural and supramalleolar flaps are very reliable. They preserve the main trunk arteries, are quickly dissected, have low hospital cost, enable coverage of extensive areas, present esthetically acceptable damage to the donor area and do not impair motor function.

Keywords: Leg injuries/surgery; Lower extremity; Reconstructive surgical procedures; Surgical flaps

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