Lower-limb Flip-Flap: A simple reliable modification of adipofascial flap for extensive tibial crest cutaneous defect
| Autor: | Pierre Sylvain Marcheix, Jérémy Hardy, Jean-Louis Charissoux, Alexandra Forli, Christian Mabit |
|---|---|
| Přispěvatelé: | Service de Chirurgie orthopédique et traumatologique [CHU Limoges], CHU Limoges, Clinique de chirurgie plastique de la main et des brûlés, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Soft Tissue Injuries Free flap Surgical Flaps Lower limb [SPI.MAT]Engineering Sciences [physics]/Materials 03 medical and health sciences 0302 clinical medicine medicine.artery Humans Medicine Orthopedics and Sports Medicine Tibia ComputingMilieux_MISCELLANEOUS Aged Skin Soleus muscle 030222 orthopedics business.industry Skin Transplantation [CHIM.MATE]Chemical Sciences/Material chemistry 030229 sport sciences Plastic Surgery Procedures Surgery Tibial Arteries Posterior tibial artery Crest business |
| Zdroj: | Orthopaedics and Traumatology-Surgery and Research Orthopaedics and Traumatology-Surgery and Research, Elsevier, 2020, 106 (5), pp.819-823. ⟨10.1016/j.otsr.2020.03.026⟩ |
| ISSN: | 1877-0568 |
| Popis: | Introduction Large cutaneous defects exposing the whole tibial crest are difficult to cover and are conventionally best treated with free flaps. This article describes a technical modification of the adipofascial flap in this indication. Methods The “flip-flap” is vascularized by the posterior tibial artery perforators harvested on the medial aspect of the leg. The hypodermal and fascial tissue is de-epidermized and elevated from the posterior midline up to the medial edge of the soleus muscle, then folded over the exposed tibial crest like a page of a book. Results A 27 × 6 cm effect was successfully covered on a 72 year-old patient with vascular status precluding free flap. The flap healed by day 21. Discussion/conclusion This technical modification is simple and allows coverage of large tibial crest skin defect when a free flap is not possible. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect