CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(01): 083-089
DOI: 10.1055/s-0039-3402354
Original Article
Association of Plastic Surgeons of India

Clinical Study of the Lateral Supramalleolar Flap in the Soft Tissue Reconstruction around the Ankle Region

G. I. Nambi
1  Plastic, Burns, Hand and Microsurgical Services, Kavin Medical Center, Erode, Tamil Nadu, India
,
T. K. Arudra Varanambigai
2  Medical Student, Government Medical College and ESI Hospital, Coimbatore, Tamil Nadu, India
› Author Affiliations
Sources of Support None.
Further Information

Publication History

Publication Date:
04 March 2020 (online)

  

Abstract

Objective The purpose of this study is to present the efficiency of the lateral supramalleolar flap which is a very useful and yet underutilized in the soft tissue reconstruction of the regions extending from the distal leg, ankle, and foot.

Methods Over a period of 3 years, 20 flaps were used in the reconstruction of soft tissue defects in the region extending from the distal leg, ankle, and foot. The location of the defects, the etiology, possible alternative flaps, outcome, and the complications were studied and presented.

Results The follow-up period of the cases was from 1 month to 18 months after surgery. Seventeen flaps survived and three were lost. All the three lost flaps were those used over the tendocalcaneal region. The lost flaps were later replaced with split skin graft after the wound was debrided and was later covered with granulation tissue.

Conclusion The lateral supramalleolar flap is a very useful flap in the regional soft tissue reconstruction around the ankle except in the tendocalcaneal region.