Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Treatment of soft tissue defect in the foot and ankle is a challenge. Various locoregional options such as reverse sural artery, reverse peroneal artery, peroneus brevis muscle, perforator based and fasciocutaneous flaps have been used, but each flap type has limitation. The use of a lateral supramalleolar flap is a promising technique for reconstruction. The aim of this study is to present our experience with lateral supramalleolar flap that was used for reconstruction of the distal leg and foot defects and to evaluate its versatility and reliability in 12 patients. Eight male and four female patients were followed up for a period of 4‐18 months postoperatively from June 2022 to May 2024 in emergency and OPD of plastic surgery department, PMCH, Patna. The age range of the patients were 31‐50 years. Island flap was used in 5 patients and peninsular flap was used in 7 patients. Twelve flaps were used in the study. Average flap length was 12 centimeters. The maximum size of the flap was 104 cm2 with an average of 48.2cm2. Venous congestion occurred in 2 flaps leading to partial necrosis. Overall success rate was 90%. Lateral supramalleolar flap is a versatile and reliable method for the reconstruction of soft tissue defect of the lower extremity.
How to cite this article:
Nitish Kumar, Krishan Gopal and Sanjay Kumar Gupta. Distal Leg and Foot Reconstruction By Using Lateral Supramalleolar Flap.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.84.89
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.84.89