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Distal lower leg local random fasciocutaneous flaps
1Division of Plastic Surgery, Allentown Hospital, Pa.
Plastic and Reconstructive Surgery
|August 1, 1990
Summary
Local fasciocutaneous flaps offer a simpler alternative for distal lower leg wounds, avoiding complex microsurgery. This method provides satisfactory healing for many injuries with fewer complications.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Distal lower leg wounds historically required complex distant flaps or microsurgical tissue transfers.
- Microsurgical tissue transfers and distant cross-leg flaps are established but complex procedures.
Observation:
- A study evaluated local antegrade-oriented fasciocutaneous flaps for distal leg and ankle wounds.
- Seventeen patients underwent closure using 19 local fasciocutaneous flaps over seven years.
Findings:
- All wounds healed without serious sequelae, with 26% experiencing minor complications.
- One case required free-tissue transfer for salvage, preventing amputation.
Implications:
- Local fasciocutaneous flaps are a simpler, viable option for select distal leg injuries.
- This approach avoids the risks associated with microsurgical tissue transfers for appropriate cases.