Coverage of pretibial leg defects with a combination of geometry of random pattern flaps in a diabetic ischaemic leg - Is it possible to have no secondary donor site defects?

Autor: S M Narendra
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Clinical and Scientific Research, Vol 12, Iss 3, Pp 220-222 (2023)
Druh dokumentu: article
ISSN: 2277-5706
2277-8357
DOI: 10.4103/jcsr.jcsr_34_22
Popis: Coverage of leg defects with exposed bone, with long fasciocutaneous flaps, will almost always lead to the creation of secondary donor site, which requires to be covered with a skin graft harvested from the thigh, creating another wound, which will take 2–3 weeks to heal. Hence, to close and heal a defect, another wound is created, which is a liability for the patient, as there is no certainty that this created wound would heal without any complications. It would be ideal to cover pretibial defects with a flap without the creation of secondary donor site, as done in face and areas having good laxity of the skin. As there is no laxity of skin in a scarred, operated, ischaemic and diabetic leg, performing a flap without the creation of secondary donor site is very challenging.
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