European Journal of Molecular & Clinical Medicine

Abstract

Background: The present day thinking in management of lower extremity damage is surgeries shifted from the concept of amputation of unwanted lower extremity to making it a functional lower extremity. We had conducted a comparative study on perforator flaps and free flaps and their use in lower extremity reconstruction and to compare the perforator flap and free flap in reconstruction of lower leg and foot defects in various advantages and disadvantages of these procedures.
Materials and methods: The present study was a prospective and comparative study that was done between the use of perforator flaps and free flaps in the reconstruction of leg and foot defects on patients who were admitted with leg and foot defects in PMCH, Patna. Study duration of Two Years. Those who were willing were evaluated thoroughly by a team of plastic surgeons who met a consensus on the procedure chosen and the timing of the flap surgery. Results: 50 -60 years constituted 33.33 %. The males comprised 73% (22 cases)   Heel lesions seen in 30 % Between the two groups difference duration of surgery, expenditure for the procedure was statistically significant with a   p value <0.0001 , was lesser for the free flap Secondary Procedures were done in 23.33% ,STSG was done in 3 cases 10% Between the two groups the complications for the procedure was no statistically significant with a p value 1. We had Flap Necrosis in 4 case major loss in tow, tip loss in 1 and partial loss in 12 case.
Conclusion: In the present study we concluded that flap reconstruction is a useful technique that restores the function and to an extent the cosmesis in lower limb tissue loss.