Are reverse flow fasciocutaneous flaps an appropriate option for the reconstruction of severe postburn lower extremity contractures?

Annals of Plastic Surgery
Fatih UygurBahattin Celiköz

Abstract

Full thickness burns involving the lower extremity can result in severe contractures, which impair extremity functions if they are not managed with proper treatment and rehabilitation. After release of postburn contracture of the knee, ankle, and metatarsophalangeal joints, defects often require coverage by flaps. Twelve distally based reverse flow flaps were performed for lower-extremity reconstruction after release of postburn flexion contractures. All of the patients were male and their age ranged from 20 to 23 years, with a mean age of 21. After the release of the contractures, 3 flaps were used based on the location of the contractures. The reverse flow anterolateral thigh flap was used for knee reconstruction (n = 4, 33%). The reverse flow sural flap was used for ankle reconstruction (n = 4, 33%), and the reverse flow medial plantar flap was used for metatarsophalangeal reconstruction (n = 4, 33%). The sizes of the flap varied from 2 to 17 cm wide and 3 to 18 cm in length. All defects were covered successfully. Reverse fasciocutaneous tissue transfer to reconstruct the soft tissue defects provide early motion. Sufficient contracture release is achieved without displacement of anatomic landmarks. The reverse-flow flap is a...Continue Reading

References

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Citations

Mar 26, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Catherine de BlacamBernard T Lee
Mar 25, 2016·The Indian Journal of Surgery·Jinshu TangShuxun Hou
Feb 14, 2012·Burns : Journal of the International Society for Burn Injuries·Viktor M Grishkevich
Sep 16, 2011·Annales de chirurgie plastique et esthétique·A HautierG Magalon
Jul 26, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M Erol DemirserenHuseyin Akkaya
Sep 8, 2010·Clinics in Plastic Surgery·Peter C Neligan, Declan A Lannon
May 30, 2009·Burns : Journal of the International Society for Burn Injuries·Fatih UygurKaan Gideroğlu
Nov 26, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Said SaghiehBisharah Atiyeh
Oct 31, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Anastasios KorompiliasIoannis Kostas-Agnantis
Jun 24, 2009·Annals of Plastic Surgery·Fatih UygurHaluk Duman
Mar 29, 2019·Plastic and Reconstructive Surgery·Christopher S CroweKari A Keys
Dec 3, 2016·Clinics in Orthopedic Surgery·Sang Hyun LeeJeung Il Kim
Sep 13, 2018·Journal of Wound Care·Kamonwan JenwitheesukNattapan Jantajang

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