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Extensor digitorum brevis rotational muscle flap for lower leg and ankle coverage
1Department of Orthopaedic Surgery, Fangliao General Hospital, Pingtung, Taiwan.
The Journal of Trauma
|December 29, 2000
Summary
The extensor digitorum brevis muscle flap offers a reliable solution for soft tissue reconstruction around the ankle. This technique provides adequate coverage with minimal complications, proving effective in various lower leg and ankle injuries.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Soft tissue reconstruction around the ankle presents significant challenges.
- The extensor digitorum brevis (EDB) muscle flap is explored as a reconstructive option.
- Technical variations in its application are discussed.
Observation:
- The EDB muscle flap, supplied by the lateral tarsal artery, was utilized in 10 patients.
- Flaps were used for soft tissue defect coverage in the lower leg and ankle.
- Flap elevation was feasible even in traumatized donor feet.
Findings:
- Complete flap survival was achieved in all cases.
- Minor complications included delayed donor skin healing in two patients.
- The EDB flap demonstrated a reliable blood supply, ease of dissection, and adequate bulk.
Implications:
- The EDB muscle flap is a viable option for ankle and lower leg soft tissue reconstruction.
- Potential disadvantages include the flap's limited size and sacrifice of the dorsalis pedis artery.
- This one-stage procedure offers advantages in managing complex lower extremity injuries.
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