Ajmal Samira, Khan Muhammad Ayub, Khan Riaz Ahmed, Shadman Muhammad, Yousof Kanwal, Iqbal Tariq
Department of Plastic and Reconstructive Surgery, Hayatabad Medical Complex, Peshawar, Pakistan.
J Ayub Med Coll Abbottabad. 2009 Oct-Dec;21(4):19-23.
Soft tissue management around the lower third of the leg and foot presents a considerable challenge to the reconstructive plastic surgeon. The options in this region are limited. A durable flap is the preferred option for coverage of such defects. This descriptive study was conducted at Hayatabad Medical Complex and Said Anwar Medical Centre Peshawar over a period of 4 years to evaluate the efficacy of distally based Sural flap in coverage of the lower third of leg, ankle and foot defects, in 25 patients.
A descriptive study was conducted at the department of Plastic and Reconstructive Surgery at Hayatabad Medical Complex and Said Anwar Medical centre Peshawar. 25 patients with soft tissue defects over the distal leg and foot were included in this study. Distally based sural fasciocutaneous flap was used for coverage in all cases and its survival, successful coverage of the defect and donor site morbidity studied.
Out of 25 flaps, 20 showed complete survival (80%). Partial flap loss was found in 2 patients (8%), marginal flap necrosis in 2 patients (8%) and complete loss in 1 patient (4%).
The distally based sural flap is a versatile and reliable flap for the coverage of soft tissue defects of the distal lower extremity. The procedure is done as a single stage; the dissection is easy with short operating time and minimal morbidity.
小腿下段和足部周围的软组织处理对整形外科重建医生而言是一项重大挑战。该区域的选择有限。对于此类缺损的覆盖，耐用的皮瓣是首选方案。本描述性研究在白沙瓦的哈亚塔巴德医疗中心和赛义德·安瓦尔医疗中心进行，为期4年，以评估25例患者中远端蒂腓肠神经营营皮瓣覆盖小腿下段、踝关节和足部缺损的疗效。
在哈亚塔巴德医疗中心和白沙瓦赛义德·安瓦尔医疗中心的整形与重建外科进行描述性研究。本研究纳入了25例小腿远端和足部软组织缺损患者。所有病例均采用远端蒂腓肠神经营营皮瓣进行覆盖，并对其存活情况、缺损的成功覆盖情况及供区并发症进行研究。
25例皮瓣中，20例完全存活（80%）。2例患者出现部分皮瓣坏死（8%），2例患者出现边缘皮瓣坏死（8%），1例患者皮瓣完全坏死（4%）。
远端蒂腓肠神经营营皮瓣是覆盖下肢远端软组织缺损的一种多功能且可靠的皮瓣。该手术为一期完成；解剖操作简便，手术时间短，并发症少。
