DISTALLY BASED SUPERFICIAL SURAL ARTERY FLAP FOR FOOT AND ANKLE RECONSTRUCTION IN CHILDREN

Authors

  • Farrukh Mahmood
  • Muhammad Younas Mehrose
  • Shehzadi Tasneem
  • Nasir Mahmood
  • Ahmad Raza

Abstract

Background: Wheel spoke injury of the ankle and foot is very common in children and its reconstruction ischallenging. Reverse sural artery flap is very useful to cover these defects. Free tissue transfer is an option inchildren which needs a micro-vascular expertise, expensive equipment and long operating time. Methods:Sixteen cases with ankle and foot defects were operated during a period of 18 months at the Children Hospitaland Institute of Child Health Lahore. The efficacy of sural artery flap for the coverage of these defects wasevaluated. Results: Sixteen children presented with defects of foot and ankle, 62.5% were male and 37.5% werefemale. Their age ranged from 2–13 years. All patients had trauma to the foot, most of them having wheel spokeinjury. Some had roadside accidents and glass injury. Fascio-cutaneous flaps were used in 9 patients and fasciaonly flap in 7 patients with split thickness skin graft. Flaps were used to cover tendoachilles, malleoli, dorsum offoot, calcaneus, amputation stump and to reconstruct heel. Fifteen flaps survived whereas one necrosed. Therewas loss of skin graft in two cases of adipofascial flaps. Mean follow-up was 6 months. Conclusion: Sural arteryflap is quick and safe with wide arc of rotation and minimal donor site morbidity and it does not sacrifice majorextremity vessel.Keywords: Superficial sural artery flap, reconstruction, foot and ankle trauma, wheel-spoke injury

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Published

2011-12-01

Issue

Vol. 23 No. 4 (2011): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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