Page 143 - Read Online
P. 143

Complications   and secondary   procedure  Flap tip necrosis   and skin grafting  Nil  Flap tip necrosis   and skin grafting  Flap tip necrosis   and skin grafting  Nil  Nil  Flap tip necrosis   and skin grafting  Nil  Flap tip necrosis   and skin grafting  Nil  Partial flap loss   and skin grafting








                                  Type of flap, delay   procedure, HBOT  Lateral supra malleolar   fasciocutaneous flap  Lateral supra malleolar   fasciocutaneous flap  Lateral supra malleolar   fasciocutaneous flap  Lateral supra malleolar   fasciocutaneous flap  Reverse sural artery   fasciocutaneous flap  Reverse sural artery   fasciocutaneous flap  Reverse sural artery   fasciocutaneous flap  Reverse sural artery   fasciocutaneous flap  Reverse sural artery   fasciocu






                                Table 2: Patients treated for soft tissue defects of the lower third of the leg and foot with immediate reverse pedicle flaps without HBO



                                         Exposure of lower third of tibia  Exposure of lower third of tibia  Exposure of second metatarsal   Exposure of second metatarsal  bone shaft and extensor halluces   Exposure of lower third of tibia  Exposure of distal Achilles tendon  Exposure of distal part of medial   malleolus and ankle joint Exposure of lateral malleolus and   Exposure of calcaneus and   Exposure of medial malleolus  Exposure of calcaneus and heel pad








                                  Details           bone shaft  longus tendon  dorsum of foot  Achilles tendon



                                  Flap size   (cm 2 )  6 × 4  6 × 4  5 × 4  6 × 4  6 × 4  6 × 4  7 × 4  13 × 5  6 × 4  4 × 4  14 × 5





                                  Defect   size (cm 2 )  5 × 4  5 × 4  4 × 4  5 × 4  5 × 4  5 × 4  6 × 4  12 × 5  5 × 4  4 × 3  13 × 5





                                         Lower third of tibia  Lower third of tibia  Midfoot dorsum  Midfoot dorsum  Lower third of tibia  Achilles tendon  Medial malleolus  Lateral malleolus   and dorsum of foot  Calcaneus and   Achilles tendon  Medial malleolus  Heel pad, calcaneus,   Achilles tendon




                                  Site


                                  Co-morbidities  Nil  Nil  Nil  Nil  Nil  Nil  Nil  Nil  Nil  Nil  Nil









                                  Trauma/  etiology  Road traffic   accident  Road traffic   accident  Road traffic   accident  Road traffic   accident  Road traffic   accident  Road traffic   accident  Road traffic   accident  Road traffic   accident  Road traffic   accident  Osteomyelitis  Road traffic   accident HBO: Hyperbaric oxygen, HBOT: Hyperbaric oxygen therapy





                                  Age   (years)/  gender  52/male  48/male  47/male  37/male  48/male  42/male  39/male  24/male  43/female  13/female  23/male






                                  No.    1    2   3   4     5   6    7   8   9   10   11

          Plast Aesthet Res || Vol 2 || Issue 3 || May 15, 2015                                             133
   138   139   140   141   142   143   144   145   146   147   148