J Korean Soc Microsurg.
2008 Nov;17(2):75-81.
The Value of Local Flaps in Lower Extrimity Reconstruction
- Affiliations
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- 1Department of Orthopedic Surgery, Gil Hospital, Gachon University, Inchon, Korea. bjr-88@hanmail.net
- 2Department of Orthopedic Surgery, Korea University Medical Center, Seoul, Korea.
Abstract
- PURPOSE
The aim of this study was to evaluate the outcome and the effectiveness of local flaps in lower extremity reconstruction.
MATERIALS AND METHODS
We have performed lower extremity reconstruction with local flap in 14 cases (10 males and 4 females) from May 2006 to February 2008. The mean age was 40.1 years (range, 16~67). The defect site was the tibia in 5 cases, the ankle in 1 case and the foot in 8 cases. The local flaps were reverse flow sural artery flap in 7 cases, gastrocnemius flap in 3 cases, lateral supramalleolar flap in 2 cases, dorsalis pedis flap in 1 case and medial hemisoleus flap in 1 case.
RESULTS
All flaps were survived. Venous congestion was developed in 1 case of the rerverse flow sural artery flap but healed with secondary rotational flap. Other flaps were good without any complications.
CONCLUSION
If we choose precisely indicated local flap in lower extremity reconstruction, the resultant coverage of defect would be excellent.
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