J Korean Burn Soc.  2022 Dec;25(2):39-45. 10.47955/jkbs.22.0016.

The Application of Appropriate Flap Depending on the Location of Lower Extremity Burns

• Seol SH
• Chung CM
• Park MC
• Kim JH

• KMID: 2536411
• DOI: http://doi.org/10.47955/jkbs.22.0016

Abstract

Purpose
Lower extremities are different from other body parts, so appropriate flap according to each part of the lower extremities needs to be considered. The purpose of our study is to review our experience and recommand to apply appropriate flap surgery for each part of the lower extremity burns.
Methods
A retrospective review was performed from 2016 to 2018, on a total of 43 burn patients undergone flap surgery as reconstruction of lower extremities in our hospital. We reviewed the location of the injury, etiology, TBSA (%), burn depth, flap choice, complications, period for healing.
Results
There were 33 male and 10 female patients and mean age was 55.4 years old. Patients were diagnosed with burn injuries, with contact being the most common type (60%), followed by electrical (16%) and chemical (9%). There are 12 types of flaps used in surgery. As complications, 5 cases of partial necrosis and 4 cases of surgical site infection were observed. There was no case of reoperation due to total necrosis of the flap.
Conclusion
In the reconstruction of lower extremity burns, good results can be derived from the patient due to the selection of appropriate flap according to the defect area of the lower extremity.

Keyword

Free tissue flaps; Leg injury; Burns