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2024, Number 1

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Cir Plast 2024; 34 (1)

Sural axial pattern flap for knee reconstruction

Porras-Méndez C, Romero-Espinosa JF, Lozada-Salgado M, Orozco-Gómez JA, Garduño-Vilchis AP, Gaona-Valle L
Full text How to cite this article 10.35366/115147

DOI

DOI: 10.35366/115147
URL: https://dx.doi.org/10.35366/115147

Language: Spanish
References: 12
Page: 10-15
PDF size: 460.75 Kb.


Key words:

knee reconstruction, axial flow sural flap, proximal base sural flap.

ABSTRACT

Leg reconstruction represents a challenge for plastic surgeons, due to the poor compliance of the skin and adjacent tissues. The proximal edge of the sural flap can be used for skin coverage of the knee, since it provides the required features, such as thickness to withstand friction and pressure forces, similarity in texture and color of the skin, which allows adequate mobility of the knee joint. The objective of this work is to promote the use of the proximally based sural flap as a reconstructive option in the lower limb. We present two cases of reconstruction using the axial pattern flap; we got a resistant and durable cover that granted an adequate range of mobility, and a hospital stay of two days. We conclude that the use of this flap is an accessible, easy to carry out reconstructive option for having consistent anatomy and providing adequate coverage for knee function and appearance.


REFERENCES

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  2. Sang-Jin C, In-Bo K, Won-Ro P, Hui-Taek K. The proximally based sural artery flap for coverage of soft tissue defects around the knee and on the proximal third and middle third of the lower leg. Acta Orthop 2008; 79: 370-375.

  3. Barrios J, Sandoval J, Méndez E, Aldana C, Amarilla J. Utilización del colgajo sural para la reparación de defectos en el miembro inferior: rescate de una extremidad. Rev Cir Parag 2019; 43: 38-40.

  4. Masquelet AC, Romana MC, Wolf G. Skin island flaps supplied by the vascular axis of the sensitive superficial nerves: anatomic study and clinical experience in the leg. Plast Reconstr Surg 1992; 89: 1115-1121.

  5. Stephen JM, Foad N. Reconstructive surgery principles, anatomy & technique. Churchill Livingstone. New York, NY; USA 1997, 525-527. ISBN: 0443079811.

  6. Suri MS, Friji MT, Ahmad QG, Yadav PS. Utility of proximally based sural artery flap for lower thigh and knee defects. Ann Plast Surg 2010; 64: 462-465.

  7. Arafa AL, Youssef G. Proximally based sural artery flap. Egypt J Plast Reconstr Surg 2018; 42: 177-181.

  8. Hong JP, Koshima I. Using perforators as recipient vessels (super microsurgery) for free flap reconstruction of the knee region. Ann Plast Surg 2010; 64: 291-293.

  9. Olivo R. Colgajos neurofasciocutáneos derivados del sistema vascular sural para la reconstrucción de miembros inferiores. Universidad Nacional Mayor de San Marcos. Lima, Perú 2003, 1-45.

  10. López EM. Reconstrucción de extremidades inferiores con colgajo sural. Universidad de San Carlos de Guatemala. Guatemala; Guatemala. 2015, 1-35.

  11. Bazualdo ER, Miranda DL, Jerez BA, Mena FI, Molina MI, Gallo EY. Estudio de pacientes tratados con colgajo sural de flujo reverso para reconstrucción de heridas complejas de extremidad inferior en el Hospital Regional Docente de Cajamarca. RECIMUNDO 2021; 5: 67-79.

  12. Gaspar C, Azevedo M, Coelho G, Zenha H, Costa H. Colgajo sural medial en la reconstrucción de miembro inferior. Cir Plast Iberolatinoam 2021; 47: 289-296.




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Cir Plast. 2024;34