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TITLE:

EFFICACY OF REVERSE FLOW SURAL ARTERY FLAP IN COVERAGE OF SOFT TISSUE DEFECT IN LOWER ONE THIRD OF LEG AND HEEL

AUTHORS:

Dr Ahmad Ali, Dr Ijaz Hussian, Dr Arif Mirza, Dr Bilal Saeed, Dr Naveed Shahzad, Dr. Naheed Ahmed

ABSTRACT:

Summary Objective: This study presents to determine the efficacy of reverse flow sural artery flap in coverage of soft tissue defect in lower one third of leg and heel. Background: Soft tissues reconstruction can be achieved by skin grafts, local flaps, distant flaps and free flaps, but their usage is limited and problems exists in these regions. This flap is a good option in the coverage of lower 1/3rd of leg and heel due to its good functional outcome and decrease donor area mobility. Methods: A descriptive case series study was conducted on 43 subjects with soft tissue defects of the lower 1/3 of the leg and heel were assessed [30 males, 13 females, 10-50years, mean (SD) age=25.03(8.71) years] who had reverse flow sural artery flap surgery for the coverage of soft tissue defects in lower one third of leg and heel during one-year period. Results: Out of 43 subjects major flap loss 5(11.7) were treated by local wound care. While the one flap (2.3%) that underwent total flaps failure was managed STSG on 5th post-operative day, wounds in 40(92%) of the patients were completely covered by reverse sural flap used in study while in 3(8%) patients wounds were not completely covered by the flap used in present study. Conclusion: Results showed that this is one of the most successful and easy technique to cover the multitude of lower limb defects especially involving lower 1/3rd and heel as in Pakistan extensive wound of lower limb are common. Keywords: Distally based (reverse) flow sural fasciocutaneous flap, lower limb trauma, lower limb reconstruction.

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