Medial sural perforator plus island flap: A modification of the medial sural perforator island flap for the reconstruction of postburn knee flexion contractures using burned calf skin
| Autor: | Kwang Seog Kim, Jae Ha Hwang, Eui Sik Kim, Sam Yong Lee |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Contracture Adolescent Knee Joint endocrine system diseases Sural nerve Island Flaps Risk Assessment Surgical Flaps Cohort Studies Young Adult Sural Nerve Humans Medicine Range of Motion Articular Aged Retrospective Studies Wound Healing integumentary system Lesser saphenous vein business.industry musculoskeletal neural and ocular physiology Graft Survival Knee flexion contracture Anatomy Middle Aged Plastic Surgery Procedures Secondary intention nervous system diseases Surgery Treatment Outcome medicine.anatomical_structure nervous system Female Burns business Normal skin Perforator flaps Follow-Up Studies Artery |
| Zdroj: | Journal of Plastic, Reconstructive & Aesthetic Surgery. 65:804-809 |
| ISSN: | 1748-6815 |
| Popis: | Summary Background The medial sural perforator island flap may be suitable for the reconstruction of postburn knee flexion contractures. However, postburn knee flexion contractures are usually associated with burns of the calf, which is the donor site of the medial sural perforator flap. Thus, there are concerns regarding the safety of raising medial sural perforator flaps from burned calves. Methods Between 2005 and 2010, 12 patients (11 males and 1 female) with postburn knee flexion contractures associated with second-degree burns of the calf (that healed by secondary intention) underwent reconstruction using a medial sural perforator island flap (based on the medial sural perforator) or medial sural perforator plus island flap (based on the medial sural perforator and other vessels that are pedicles of the sural flaps). Results All 12 flaps, which ranged in size from 7 to 15 cm in width and from 9 to 23 cm in length, survived completely. Of the 12 flaps, three were medial sural perforator island flaps and nine were medial sural perforator plus island flaps. Of the nine medial sural perforator plus island flaps, two included the lesser saphenous vein, five included the lesser saphenous vein and its accompanying artery, and two included the lesser saphenous vein, the distal sural nerve and their accompanying arteries. Healing of all donor sites was uncomplicated. All patients were completely satisfied with their results. Conclusions Although this series is not large, the authors are convinced that some reliable medial sural perforators are usually present under second-degree burned calf skin that healed by secondary intention, and that the medial sural perforator island flap or the medial sural perforator plus island flap can be safely used even though the skin may not be as pliable as normal skin. |
| Databáze: | OpenAIRE |
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