Reliability and Versatility of Reverse Sural Island Neurofasciocutaneous Leg Flaps.

Szczegóły
Abstrakt

Tytuł:: Reliability and Versatility of Reverse Sural Island Neurofasciocutaneous Leg Flaps.
Autorzy:: Stevanovic GR
Dakovic-Bjelakovic MZ; Anatomy, Faculty of Medicine, University of Nis.
Paravina JM; From the Clinic for Plastic, Reconstructive and Aesthetic Surgery, Clinical Center Nis.
Momčilović S
Golubovic IZ; Clinic for Orthopedics and Traumatology, Clinical Center Nis.
Ignjatovic NS
Jankovic ID
Radojkovic M
Nestorovic M
Rancic D
Rancic Z
Źródło:: Annals of plastic surgery [Ann Plast Surg] 2020 Dec; Vol. 85 (6), pp. 656-660.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Boston Ma : Little, Brown And Company
Original Publication: Boston, Little, Brown.
MeSH Terms:: Free Tissue Flaps*
Leg Injuries*/surgery
Plastic Surgery Procedures*
Soft Tissue Injuries*/surgery
Female ; Humans ; Leg ; Male ; Reproducibility of Results ; Sural Nerve
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Entry Date(s):: Date Created: 20200430 Date Completed: 20210514 Latest Revision: 20221207
Update Code:: 20240105
DOI:: 10.1097/SAP.0000000000002350
PMID:: 32349077
: Czasopismo naukowe

Background: Distally based sural neurofasciocutaneous (NFC) flaps are a commonly used method for foot and ankle reconstruction given that they are much simpler and, at the same time, still efficient alternative to perforator flaps and free style free flaps.
Objective: This study aims to evaluate the reliability and versatility of reverse sural island NFC flaps as a powerful and efficient method that can be used for repair of lower leg skin defects. This method does not require microsurgical facilities or extensive training.
Methodology: Patients with soft tissue defects of the distal third of the leg and ankle region received reverse sural island NFC flaps. Inclusion criteria included an absence of damage to the sural neurovascular axis or communicating perforators, absence of peripheral vascular disease, and the presence of soft tissue defects deep enough to expose tendon or bone. Patients were assessed for flap (defect) size, pedicle length and location of defects, postoperative flap survival rates, and complications. Donor sites were closed directly or skin grafted.
Results: Of 24 consecutive patient (20 male; 4 female), all flaps except 1 (4.16%), survived, although partial necrosis was observed in 2 patients (8.33%). The overall major complication rate was 12.50%. Epidermolysis was noted in 1 patient (4.16%). Three cases of transient venous congestion resolved without additional complications. The overall minor complication rate was 16.66%. Minimal complications were associated with healing of donor sites.
Conclusions: Reverse sural island NFC flaps provide adequate and aesthetically very acceptable coverage of soft tissue defects of the distal lower leg and proximal foot with no functional impairment.

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