Our experience with the lateral supramalleolar island flap for reconstruction of the distal leg and foot: a review of 20 cases

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Efterpi DemiriLampis Lazaridis

Abstract

We describe our experience with, and evaluate the reliability of, the lateral supramalleolar flap that was used in 20 patients for reconstruction of the distal leg and foot. There were 14 men and six women, age range 20-83 years. Nine were diabetic. The causes of the skin defects included trauma, diabetic ulcer, and deep burn. Sites of defects were the lower leg, the Achilles tendon, the dorsal and lateral aspect of the foot, and the ankle. Nineteen flaps survived and provided satisfactory coverage of the defect. Four flaps showed partial necrosis and required revision. We think that the lateral supramalleolar flap is a good way to reconstruct soft tissue defects of the lower extremity. Based on a secondary vascular axis, it has a large skin paddle and a wide rotation arc that reaches the distal areas of the foot.

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Citations

Mar 23, 2013·Operative Orthopädie und Traumatologie·E L HiernerR Hierner
Jan 22, 2014·Der Unfallchirurg·A J SudaV G Heppert
Dec 27, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Med Faouzi Hamdi, Anis Khlifi
Dec 2, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yong-Qing XuXiao-Qing He
Jun 26, 2007·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Hakan AgirMurat Onyedi
Jul 21, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Yue-Liang ZhuYong-Qing Xu
Sep 18, 2013·Journal of Burn Care & Research : Official Publication of the American Burn Association·Viktor M Grishkevich
Apr 22, 2011·Annals of Plastic Surgery·Hede YanFeng Zhang
Mar 1, 2014·Revista Brasileira De Ortopedia·Alexandre Carvalho Quirino, Karen Cristina Viegas
Jun 26, 2020·Journal of Reconstructive Microsurgery·Carol E SoteropulosSamuel O Poore

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