Repair of foot defect with a reverse fascial pedicled posterolateral lower leg flap.
- Author:
Wei-gang CAO
1
;
Sheng-li LI
;
Shan-liang WANG
;
Qun ZHANG
;
Chuan YANG
;
Wei WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Child; Child, Preschool; Female; Foot Deformities, Acquired; surgery; Humans; Male; Skin Transplantation; methods; Surgery, Plastic; methods; Surgical Flaps; Treatment Outcome
- From: Chinese Journal of Plastic Surgery 2004;20(1):35-37
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the applications of ipsilateral reverse fascial pedicled posterolateral lower leg flap in foot defect repair.
METHODSA fasciocutaneous flap was designed over the gastrocnemius muscle to repair the defects in the foot or the lower third of the leg. The flap was based on a perforator branch between the lateral malleolus and the Achilles tendon, coming from the vessel network of the ankle as well as the deep fascia.
RESULTSThis method was used in 6 cases, including 2 children of 5-6 years old. All the flaps survived without necrosis and venous congestion.
CONCLUSIONSThe operation is simple and a large flap over the whole gastrocnemius muscle can be raised without sacrifice of a main blood vessel. It is an excellent method for repair of the defects in the heel, medial and lateral malleolus, dorsum pedis and the lower third of the leg.
