Lateral supramalleolar flap pdf

The lateral supramalleolar flap was used in 41 cases of distal third of the leg, foot, ankle, and heel skin defect reconstruction. The authors recommend raising a distal subcutaneous pedicle to avoid skin grafting over the tendons. The lateral supramalleolar flap is usually employed as a distallybased pedicle flap. The lateral supramalleolar flap is based on a perforator of the peroneal artery, emanating at. The lateral supramalleolar flap is one of a series of flaps described in the last decade. The lateral supramalleolar flap international journal of research in. A distally based sural flap was used for 10 cases for the hindfoot reconstruction, and a lateral supramalleolar flap was used for 3 cases for the lateral arch reconstruction of the mid and forefoot after wide excision of malignant melanomas. For the coverage of smaller defects, alternative options such as pedicled flaps e. The perforating branch of peroneal artery flaps such as the lateral supramalleolar flap 16 and the lateral retromalleolar perforatorbased flap 17 can be used to cover the defect of achilles tendon. Compromised circulation in larger flaps and flaps with vascular variations can be improved by delaying flap transfer to the recipient site for 48 hours following its elevation. Our technique of harvesting the supramalleolar flap is by using a fasciocutaneous pedicle and minimal perforator dissection. It is a fasciocutaneous flap raised from the lateral aspect of the lower leg and used as a distally based pediculed flap. The lateral supramalleolar flap for soft tissue defect on.

Despite the recent advances in operative technique, re constructing large. Soft tissue reconstruction of the foot using the distally based. The arterial blood supply was mixed in 33 cases and retrograde in. The lateral supramalleolar flap technique, usually used with the distal base pedicle, has been well described by mas quelet and gilbert5. Reverse lateral supramalleolar adipofascial flap and skin. This flap is supplied by the perforating branch of the peroneal artery. The distally based lateral supramalleolar flap, nourished by the supramalleolar anterior perforating branch of the peroneal artery, was firstly reported by masquelet in 1988. Pressure ulcers are a major source of morbidity in patients with spinal cord injury. Chimeric lateral supramalleolar artery perforator fibula free flap in the reconstruction of composite head and neck defects. The disadvantages are scarring from skin graft and division of superficial peroneal nerve in lateral supramalleolar flap. The lateral supramalleolar lsm flap was first described in 1988 by masquelet et al. Peroneal artery anterolateral supramalleolar flap springerlink.

The lateral supramalleolar flap has proved to be versatile for managing a variety of skin defects of the foot, ankle and lower third of the leg. Lateral fasciocutaneous supramalleolar flap with orthograde blood flow, fasciocutaneous lateral supramalleolar perforator flap with. The aim of this report is to present the clinical result and efficacy of reverse lateral supramalleolar adipofascial flap and skin grafting for one stage soft tissue reconstruction of the foot and ankle joints. The arterial blood supply was mixed in 33 cases and retrograde in 8 cases. Rbcp reconstruction of the dorsal foot with a retrograde. Pdf chimeric lateral supramalleolar artery perforator. The distally based lateral supramalleolar flap, nourished by the supramalleolar anterior perforating branch of the peroneal artery, was. Soft tissue reconstruction of the foot using the distally. Lateral supramalleolar flaps for reconstruction in the ankle and foot.