Versatility of delayed reverse-flow islanded sural flap for reconstructing pretibal defects among high-risk patients

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dc.contributor.authorInce, Bilsev
dc.contributor.authorDaaci, Mehmet
dc.contributor.authorAltuntas, Zeynep
dc.contributor.authorSodali, Tugba
dc.contributor.authorBilgen, Fatma
dc.contributor.authorEvrenos, Mustafa Kursat
dc.date.accessioned2024-02-23T14:41:01Z
dc.date.available2024-02-23T14:41:01Z
dc.date.issued2014
dc.departmentNEÜen_US
dc.description.abstractBACKGROUND AND OBJECTIVE: Reconstructing defects related to the leg soft tissue may be quite difficult because the soft tissue over the bone is rather thin and the tendons lie right under the skin. Distal pedicle sural neurocutaneous flap with its long pedicle composed of skin, subcutaneous tissue and fascia is suitable for superficial defects. This study aimed to determine the usability of the delayed reverse-flow (distally based) islanded sural flap for correcting tibial and ankle defects. DESIGN AND SETTINGS: A prospective clinical trial conducted from 2012 to 2013 in Plastic & Reconstructive and Aesthetic Surgery clinic, Necmettin Erbakan University, Turkey. METHOD: Eleven patients with pretibial defects and a visible open bone who underwent reconstruction with reverse-flow islanded sural flap between 2012 and 2013 were included in the study. All patients who had defects between the middle of the tibia and the foot underwent surgery in 2 sessions under spinal anesthesia. In the first session, necrotic tissues were debrided and cultures were taken, and the flap was delayed. Reconstruction was performed in the second session. RESULTS: The biggest flap was 16x11 cm and the smallest one was 5x6 cm. The longest pedicle was 27 cm long and the shortest one 21 cm. A total of 6 patients were smokers and 3 had diabetes mellitus. One patient had partial necrosis of the flap, and the necrosis was healed secondarily. No complications were seen in other patients. CONCLUSION: Delayed reverse-flow islanded sural flaps can be used as an easy, quick, and secure surgical alternative to free flaps for correcting in leg defects involving an exposed bone between the middle portion of the tibia and the heel.en_US
dc.identifier.doi10.5144/0256-4947.2014.235
dc.identifier.endpage240en_US
dc.identifier.issn0256-4947
dc.identifier.issn1319-9226
dc.identifier.issue3en_US
dc.identifier.pmid25266184en_US
dc.identifier.scopus2-s2.0-84910615809en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage235en_US
dc.identifier.urihttps://doi.org/10.5144/0256-4947.2014.235
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16665
dc.identifier.volume34en_US
dc.identifier.wosWOS:000356416300008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherK Faisal Spec Hosp Res Centreen_US
dc.relation.ispartofAnnals Of Saudi Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[Keyword Not Available]en_US
dc.titleVersatility of delayed reverse-flow islanded sural flap for reconstructing pretibal defects among high-risk patientsen_US
dc.typeArticleen_US

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