Distal Lower Leg Local Random Fasciocutaneous Flaps.
Publication/Presentation Date
8-1-1990
Abstract
Significant open wounds of the distal third of the lower leg that require some form of vascularized flap have historically been covered with distant cross-leg flaps or more appropriately with microsurgical tissue transfers. The rediscovery of the "random" fasciocutaneous flap as a reliable single-stage option for proximal lower leg defects has been extended distally to allow an expedient alternative in lieu of these more complicated procedures. Over the past 7 years, 17 selected patients had closure of distal leg and ankle wounds with 19 local antegrade-oriented fasciocutaneous flaps. All eventually healed without serious sequelae, although 5 (26 percent) had minor complications, except for one case that could only be salvaged with a free-tissue transfer in order to prevent limb amputation. For small- or moderate-sized, uncontaminated injuries, this approach warrants consideration under appropriate circumstances as a simpler option that may permit satisfactory healing and avoids the known risks of microsurgical tissue transfers.
Volume
86
Issue
2
First Page
304
Last Page
311
ISSN
0032-1052
Published In/Presented At
Hallock, G. G. (1990). Distal lower leg local random fasciocutaneous flaps. Plastic And Reconstructive Surgery, 86(2), 304-311.
Disciplines
Medicine and Health Sciences | Other Medical Specialties | Plastic Surgery | Surgery
PubMedID
2367579
Department(s)
Department of Surgery, Department of Surgery Faculty
Document Type
Article