J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(6):775-778.
Published online November 1, 2010.
Clinical Application of the Delayed Procedure in the Distally Based Sural Flap.
Hyung Woo Yim, Yong Joon Park
Department of Plastic and Reconstructive Surgery, College of Medicine, Eulji University Hospital, Daejeon, Korea. pyj@eulji.ac.kr
Abstract
PURPOSE
Reconstruction of soft tissue defects with osteomyelitis in the lower third of the leg represents a challenge to plastic surgeons. Moreover, it is more arduous in multimorbid patients. One excellent option for reconstruction of these defects is to use a delayed distally based sural flap. METHODS: We successfully used delayed distally based sural flap with a two-step procedure. During the first operation, radical debridement and elevation of flap were performed. The raised flap was fixed again at the donor site. The delay period ranged from seven to ten days. Between August 2008 and July 2009, we underwent operations for five patients using this technique. The size of flap varied from 10 x 6 cm to 12 x 14 cm.
RESULTS
All flaps successfully survived. Partial skin loss of the grafted site was seen in two patients but no further surgical procedure was required for wound healing. Complaints of hypoesthesia on the lateral part of the foot was observed. In a three month follow-up period, hypoesthesia was resolved spontaneously.
CONCLUSION
Delayed procedure improves the viability of distally based sural flap in high risk, critically multimorbid patients. We recommend that, if a two-stage operative approach is required, the delayed procedure should be considered.
Keywords: Delayed procedure; High risk patients; Distally based sural flap
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,286 View
  • 0 Download

Clinical Application of Adipose Derived Stromal Cell Autograft for Wound Coverage.2008 November;35(6)

Reconstruction of the Defect in Perineum using Local Perforator Based Flap.2009 September;36(5)

Clinical Applications of Peroneal Perforator Flap.2006 March;33(2)

Reconstruction of Disarticulated Knee Stump by Using Distally Based Anterolateral Thigh Island Flap.2007 July;34(4)

Clinical Considerations of the Surgical Treatments of the Pressure Sore.2007 September;34(5)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
E-mail: apsedit@gmail.com                

Copyright © 2024 by Korean Society of Plastic and Reconstructive Surgeons.

Developed in M2PI

Close layer
prev next