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CC BY-NC-ND 4.0 · Indian J Plast Surg 2024; 57(S 01): S80-S87
DOI: 10.1055/s-0044-1788991
Original Article

Foot and Ankle Reconstruction Using Retrograde Lateral Supramalleolar Flap

Thach Ngoc Nguyen 
1   Hospital for Traumatology and Orthopaedics, Ho Chi Minh City, Ho Chi Minh City, Vietnam
,
Tuong Trong Mai 
1   Hospital for Traumatology and Orthopaedics, Ho Chi Minh City, Ho Chi Minh City, Vietnam
,
Khanh Hoa Vo 
1   Hospital for Traumatology and Orthopaedics, Ho Chi Minh City, Ho Chi Minh City, Vietnam
,
An Van Nguyen 
1   Hospital for Traumatology and Orthopaedics, Ho Chi Minh City, Ho Chi Minh City, Vietnam
,
An Nguyen Nguyen 
2   Virginia Commonwealth University, Richmond, Virginia, United States of America
,
Thi Cao 
3   University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
› Institutsangaben Funding None.
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Abstract

Background Treatment of soft-tissue defects in the foot and ankle is a challenge. The use of a retrograde lateral supramalleolar flap is a promising technique for reconstruction. This study aims to assess the efficacy and outcomes of the technique.

Materials and Methods A prospective observational study was conducted from December 2017 to December 2022. Patients with soft-tissue defects in the foot and ankle underwent reconstruction using the retrograde lateral supramalleolar flap. Data on demographics, injury details, flap dimensions, complications, and outcomes were recorded and analyzed.

Results Forty-six flaps were used in the study. The average flap length was 17.47 cm. The maximum size of the flaps was 104 cm2 with an average of 48.43 cm2. Venous congestion occurred in nine flaps, leading to partial necrosis in four cases. The overall success rate was 91.3%.

Conclusion The retrograde lateral supramalleolar flap is effective in covering soft-tissue defects in the foot and ankle.

Keywords

retrograde lateral supramalleolar flap - foot and ankle reconstruction - soft-tissue defects - reconstructive surgical procedures

Note

All the authors declare that this manuscript has not been published elsewhere in any languages. This manuscript is free of plagiarisms. All the authors are responsible for the accuracy of the results and methods. Each author has carefully read and approved the final version of this manuscript.


Ethical Approval

Finding a good choice for covering soft-tissue defects in subunits of the foot and ankle is essential to surgeons. In this study, we share our experience using the retrograde LSM flap. The study was performed at The Hospital for Traumatology and Orthopaedics Ho Chi Minh City and The University of Medicine and Pharmacy at Ho Chi Minh City. The University of Medicine and Pharmacy at Ho Chi Minh City approved the ethical issues for this study (280/HĐĐĐ-ĐHYD) following the Helsinki Declaration.




Publikationsverlauf

Artikel online veröffentlicht:
03. September 2024

© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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