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Bipedicled flap in reconstruction of exposed tibia.

Abdou M A Darwish¹

¹Plastic and Reconstructive Surgery Unit, Surgery Department, El Minia University, Egypt. abdoudarwish@hotmail.com

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|December 17, 2008

Summary

The bipedicled flap is a feasible option for reconstructing exposed tibia defects, offering dual blood supply and good aesthetic outcomes. This method shows promise for successful soft tissue coverage in challenging cases.

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Area of Science:

Plastic Surgery
Orthopedic Surgery
Reconstructive Surgery

Background:

Exposed tibia fractures pose significant reconstructive challenges.
Soft tissue coverage is crucial for limb salvage and functional recovery.

Purpose of the Study:

To assess the feasibility of using bipedicled flaps for exposed tibia reconstruction.
To evaluate the outcomes and complication rates associated with this technique.

Main Methods:

A series of 23 patients underwent exposed tibia reconstruction.
Fasciocutaneous bipedicled flaps were utilized, sourced from medial, lateral, or both aspects of the leg.
Donor sites were covered with split-thickness skin grafts.

Main Results:

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Twenty-five flaps were used in 23 patients, with 23 demonstrating complete viability and healing.
One flap experienced partial necrosis, managed conservatively.
One flap suffered severe infection requiring debridement and free flap reconstruction.

Conclusions:

The bipedicled flap offers a dual blood supply, promoting flap survival.
This technique can achieve desirable sensitivity and aesthetic results in the reconstructed area.
It presents a viable option for complex tibia defect reconstruction.