Lower Limb Reconstruction - Fasciocutaneous Sural Flap
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200128 |
Resumo: | Abstract Objective The present study aims to evaluate the use of the reverse-flow sural fasciocutaneous flap to cover lesions in the distal third of the lower limb. Methods A total of 24 cases were analyzed, including 20 traumatic injuries, 3 sports injuries, and 1 case of tumor resection. Results Among the 24 evaluated medical records, 16 patients were male, and 8 were female. Their age ranged from6 to 75 years old. Most of the patients evolved with total healing of the flap (n= 21). There was only one case of total necrosis of the flap in an insulin-dependent diabetic, high blood pressure patient, evolving to subsequent limb amputation. In two cases, there was partial necrosis and subsequent healing by secondary intention; one of these patients was a heavy smoker. Complications were associated with comorbidities and, unlike other studies, no correlation was observed with the learning curve. There was also no correlation with the site or size of the lesion to be covered. Conclusion It is clinically relevant that the success rate of the reverse-flow sural fasciocutaneous flap technique was of 87.5%. This is a viable and effective alternative in the therapeutic arsenal for complex lower limb lesions. |
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Lower Limb Reconstruction - Fasciocutaneous Sural Flapsurgical flapssural nerve/ transplantationfascia/ transplantationleg injuriesAbstract Objective The present study aims to evaluate the use of the reverse-flow sural fasciocutaneous flap to cover lesions in the distal third of the lower limb. Methods A total of 24 cases were analyzed, including 20 traumatic injuries, 3 sports injuries, and 1 case of tumor resection. Results Among the 24 evaluated medical records, 16 patients were male, and 8 were female. Their age ranged from6 to 75 years old. Most of the patients evolved with total healing of the flap (n= 21). There was only one case of total necrosis of the flap in an insulin-dependent diabetic, high blood pressure patient, evolving to subsequent limb amputation. In two cases, there was partial necrosis and subsequent healing by secondary intention; one of these patients was a heavy smoker. Complications were associated with comorbidities and, unlike other studies, no correlation was observed with the learning curve. There was also no correlation with the site or size of the lesion to be covered. Conclusion It is clinically relevant that the success rate of the reverse-flow sural fasciocutaneous flap technique was of 87.5%. This is a viable and effective alternative in the therapeutic arsenal for complex lower limb lesions.Sociedade Brasileira de Ortopedia e Traumatologia2019-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200128Revista Brasileira de Ortopedia v.54 n.2 2019reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rbo.2017.12.016info:eu-repo/semantics/openAccessSevero,Antonio LourencoCoppi,Eduardo Felipe MandarinoCavalheiro,Haiana LopesBosco,Alexandre Luiz DalBarreto Filho,DaniloLemos,Marcelo Barretoeng2019-05-29T00:00:00Zoai:scielo:S0102-36162019000200128Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2019-05-29T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Lower Limb Reconstruction - Fasciocutaneous Sural Flap |
title |
Lower Limb Reconstruction - Fasciocutaneous Sural Flap |
spellingShingle |
Lower Limb Reconstruction - Fasciocutaneous Sural Flap Severo,Antonio Lourenco surgical flaps sural nerve/ transplantation fascia/ transplantation leg injuries |
title_short |
Lower Limb Reconstruction - Fasciocutaneous Sural Flap |
title_full |
Lower Limb Reconstruction - Fasciocutaneous Sural Flap |
title_fullStr |
Lower Limb Reconstruction - Fasciocutaneous Sural Flap |
title_full_unstemmed |
Lower Limb Reconstruction - Fasciocutaneous Sural Flap |
title_sort |
Lower Limb Reconstruction - Fasciocutaneous Sural Flap |
author |
Severo,Antonio Lourenco |
author_facet |
Severo,Antonio Lourenco Coppi,Eduardo Felipe Mandarino Cavalheiro,Haiana Lopes Bosco,Alexandre Luiz Dal Barreto Filho,Danilo Lemos,Marcelo Barreto |
author_role |
author |
author2 |
Coppi,Eduardo Felipe Mandarino Cavalheiro,Haiana Lopes Bosco,Alexandre Luiz Dal Barreto Filho,Danilo Lemos,Marcelo Barreto |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Severo,Antonio Lourenco Coppi,Eduardo Felipe Mandarino Cavalheiro,Haiana Lopes Bosco,Alexandre Luiz Dal Barreto Filho,Danilo Lemos,Marcelo Barreto |
dc.subject.por.fl_str_mv |
surgical flaps sural nerve/ transplantation fascia/ transplantation leg injuries |
topic |
surgical flaps sural nerve/ transplantation fascia/ transplantation leg injuries |
description |
Abstract Objective The present study aims to evaluate the use of the reverse-flow sural fasciocutaneous flap to cover lesions in the distal third of the lower limb. Methods A total of 24 cases were analyzed, including 20 traumatic injuries, 3 sports injuries, and 1 case of tumor resection. Results Among the 24 evaluated medical records, 16 patients were male, and 8 were female. Their age ranged from6 to 75 years old. Most of the patients evolved with total healing of the flap (n= 21). There was only one case of total necrosis of the flap in an insulin-dependent diabetic, high blood pressure patient, evolving to subsequent limb amputation. In two cases, there was partial necrosis and subsequent healing by secondary intention; one of these patients was a heavy smoker. Complications were associated with comorbidities and, unlike other studies, no correlation was observed with the learning curve. There was also no correlation with the site or size of the lesion to be covered. Conclusion It is clinically relevant that the success rate of the reverse-flow sural fasciocutaneous flap technique was of 87.5%. This is a viable and effective alternative in the therapeutic arsenal for complex lower limb lesions. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200128 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200128 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rbo.2017.12.016 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.54 n.2 2019 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122361908297728 |