CLINICAL STUDY OF THE LATERAL PREMALLEOLAR FLAP
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 11818-11818
AbstractBackground: Lateral premalleolar flap that is a reliable, study, and very useful to cover soft tissue defects of the distal leg, ankle, and foot but still remains underutilized and under-reported in the literature.
Aims: To study the dimensions of the Lateral Premalleolar Flap that can be harvested with safety and its uses for the defects around the ankle.
Materials and methods: This retrospective study is conducted for 3 years included 12 patients irrespective of sex and age between 5-70 years with soft tissue defects around the ankle joint. Various dimensions were assessed and studied.
Results: A lateral premalleolar flap was performed in 12 patients in our study, all of whom were male (100 percent). The participants ranged in age from 15 to 70 years old, with a median age of 40.5 years. The defect was caused by trauma in 11 cases (91%), and electrical burns in one patient (9 percent ). The defect was seen in the anterior lower leg in seven patients (58%) and the medial malleolus in two patients (17%), the dorsum of the foot in one patient (8%), and the Achilles tendon in two patients (17 percent ). Eight flaps (66%) survived entirely, while four patients (34%) had partial necrosis, requiring revision and reinset in two patients (17%) and debridement and skin grafting in the other two (17%).
Conclusions: Because of its reliable blood supply, short operating time, minimal equipment, and ease of execution under regional anesthesia with minimal blood loss and without sacrificing any major vessels, the lateral Premalleolar flap is a good option for lower third leg, dorsum of foot, and posterior ankle defects.
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