Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Ankle / Foot
Abstract number: 25980
INFERIORLY BASED FASCIOCUTANEOUS FLAP FOR LOWER 3RD LEG
RECONSTRUCTIONS
Narayana Prasad KARAKKAD, Sambathkumar BALAKRISHNAN
Dhanalakshmi Hospital, Kannur (INDIA)
Skin & soft tissue loss to the lower one third of leg are commonly seen following rta,
associated exposed fracture tibia or fibula or medial malleous. Re-surfacing exposed
tibia or medial malleous after stabilizing the fracture either internally or externally is a
challenging job for the surgeon dealing with trauma. Free microvascular flap is an
ideal choice provided the trained team is available and it is a costly affair too. Cross
leg flap is a safe flap even though it is very cumbersum to the patient but highly
reliable. To strike a balance we used inferiorly based fascio cutaneous flap to cover
lower one third defect in the leg sometimes we used it to cover the middle one third
defect. The flap is unique flap, which contains both the medial and lateral perforators
along with the sural artery flap raised in different dimension according to the defect.
In the last 5 years we have perforated about 16 inferiorly bases fascio cuatneous flap
to cover various defects. Patients are followed up with regular interval and the results
are analyzed and reported, also compared with other flaps. As a single stage flap this
flap is ideally suited for the biginners and also in the centres where microsurgical
facilities are not available
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