Distally based fasciocutaneous flap of the calf for cutaneous coverage of the lower leg and dorsum of the foot

Otávio Machado De Almeida, Araldo Ayres Monteiro, Rogério Izar Neves, Ricardo Gomes De Lemos, Jorge Caio Braz, Eduard Rene Brechtbuhl, Rolf Gemperli, Marcus Castro Ferreira

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Abstract

Cutaneous injuries of the inferior third of the leg and dorsum of the foot represent a great challenge for plastic surgeons. The poor vascularization and subsequent poor healing encountered in these regions demand detailed knowledge of the local anatomy to select the best surgical alternative for each patient. In patients in whom local or free muscular flaps are not suitable, the fasciocutaneous flaps seem to be a good alternative. The distal pedicled fasciocutaneous flap of the calf was used to cover skin defects of the leg and foot in 22 patients. In 4 patients the authors designed an island flap to prevent a large defect in the donor area and to decrease the time of hospitalization and recovery of the patient. In a severe defect, the flap was used as a cross-leg flap. The results were satisfactory because the flap provided stable coverage for different defects with few complications. The island flap is a good option for achieving a better aesthetic result and can be used in select patients.

Original languageEnglish (US)
Pages (from-to)367-374
Number of pages8
JournalAnnals of plastic surgery
Volume44
Issue number4
DOIs
Publication statusPublished - Apr 2000

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All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

De Almeida, O. M., Monteiro, A. A., Neves, R. I., De Lemos, R. G., Braz, J. C., Brechtbuhl, E. R., ... Ferreira, M. C. (2000). Distally based fasciocutaneous flap of the calf for cutaneous coverage of the lower leg and dorsum of the foot. Annals of plastic surgery, 44(4), 367-374. https://doi.org/10.1097/00000637-200044040-00003