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:: Volume 8, Issue 3 (9-2019) ::
wjps 2019, 8(3): 316-323 Back to browse issues page
Reverse Flow Superficial Sural Artery Fasciocutaneous Flap: A Comparison of Outcome between Interpolated Flap Design versus Islanded Flap Design
Muhammad Saaiq , Farid Ullah Khan Zimri
National Institute of Rehabilitation Medicine (NIRM), Street No.9, G-8/2, Islamabad, Pakistan.
Abstract:   (255 Views)
BACKGROUND
Complex soft-tissue defects of the distal third of the leg, proximal third of foot and similar wounds around the ankle represent formidable foes for plastic surgeons. This study compared the outcome of 2-staged interpolated flap design versus single stage islanded flap design of reverse flow superficial sural artery flap.
METHODS
Thirty-four patients were enrolled, while half randomly underwent interpolated flap design (group A) and for half, islanded flap design (group B). The outcome measures were frequency of epidermolysis, flap-tip necrosis, partial flap loss, total flap loss and number of secondary procedures required for addressing these complications.
RESULTS
Among patients, 79.41% were male and 20.58% were females. The age range was 12-51 years (mean: 28.82±10.76 years). The wound locations were hind foot (50%), ankles (17.64%), heel (14.70%), distal third of leg (11.76%) and dorsum of proximal third of foot (5.88%). In group B, epidermolysis was noted in 35.29% of flaps, and flap tip necrosis and partial flap necrosis in 17.64%. In group A, 5.88% were tip necrosis with no other problems. In group B, 76.47% of secondary procedures were done to address various flap related complications, whereas in group A, 5.88% additional procedures were required to address the flap tip necrosis.
CONCLUSION
The reverse flow superficial sural artery flap constituted a practical solution to address complex defects of the distal leg, ankle, heel and proximal foot. The 2-staged interpolated flap design considerably enhanced the flap reliability and reduced the frequency of venous congestion and resultant flap necrosis of variable proportions
Keywords: Reverse flow, Superficial sural artery, Flap, Interpolated, Islanded, Necrosis
Full-Text [PDF 3918 kb]   (130 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2018/11/8 | Accepted: 2019/09/12 | Published: 2019/09/13
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Saaiq M, Zimri F U K. Reverse Flow Superficial Sural Artery Fasciocutaneous Flap: A Comparison of Outcome between Interpolated Flap Design versus Islanded Flap Design. wjps. 2019; 8 (3) :316-323
URL: http://wjps.ir/article-1-458-en.html


Volume 8, Issue 3 (9-2019) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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