Reconstructive implications of adipofascial flaps in limb defects

Goyal, Sunish; Bashir, Sheikh Adil

doi:10.1007/s00238-007-0166-2

Cited by 4 publications

(6 citation statements)

References 15 publications

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“…20 There were 5 smokers in the study ranging from 18 to 45 years of age and no flap or donor skin necrosis complication was found in any of them similar to another study. 2 There was one diabetic patient in the study who had marginal donor-site skin necrosis, which did not require further surgery. Other studies also reported partial tip necrosis, partial graft loss and partial flap necrosis among diabetic patients.…”

Section: Discussionmentioning

confidence: 93%

“…Similar other studies also found trauma as the major etiological factor. 2,17 In another study, it was noted that all the defects were due to road traffic accidents. 18 Patients with osteomyelitis were excluded from the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Lin et al 21 have also used both the adipose and fascial sides in their study and noted partial graft loss due to fat necrosis in three cases. Bhattacharya et al 2 preferred the skin graft on the fascial surface of the flap most likely due to fat necrosis on the adipose side. Our study found equally good results with both the adipose and fascial sides.…”

Section: Discussionmentioning

confidence: 99%

“…1 This flap incorporates two plexuses less than fasciocutaneous flaps, i.e., dermal and subdermal plexuses. 2,3 The defects around the ankle and foot present a huge problem to plastic surgeons because of lack of local tissue, donor site morbidity and bulkiness following reconstructive surgery. 4,5 Adipofascial flaps are locally available, offer superior donor site scar, single staged and have a wide arc Background and aims: The reconstruction of lower limb defects is challenging, and several options have been applied for soft tissue covers over the years.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A study on clinical application of Adipofascial flaps for reconstruction in leg defects

Kabita¹,

Sonali²

2021

International Journal of Health Research and Medico-Legal Practice

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A study on clinical application of Adipofascial flaps for reconstruction in leg defects

Kabita¹,

Sonali²

2021

International Journal of Health Research and Medico-Legal Practice

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“…Thinner modifications of fasciocutaneous flaps such as adipofascial or fascial flaps have limited usefulness, owing to smaller dimensions. 18 19 Posterior tibial perforator-based flaps can be used for reconstruction of massive defects, and it is better than other more complex microvascular techniques of flap transfer. 20 The versatile retrograde posterior tibial perforator-based fasciocutaneous flaps is a simple technique that remains the backbone of reconstruction of distal leg and foot defects.…”

Section: Discussionmentioning

confidence: 99%

Radiological Evaluation of Postsurgical Course of Perforators in Retrograde Posterior Tibial Fasciocutaneous Flaps for Distal Leg and Foot Defects

Agrawal

Dubepuria

2021

Indian J Plast Surg

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Background Mapping of vascular perforators by various methodologies have been described for planning of a variety of flaps in the lower limbs. We attempted to assess the changes in posterior tibial perforators after transfer of fasciocutaneous flaps for leg defects. Methods 20 patients with distal leg and foot defects were studied by computed tomography angiography (CTA) and preoperative audio Doppler to ascertain perforators of posterior tibial artery. Fasciocutaneous flaps were raised, based on these perforators, depending on the site and size of soft-tissue defects. The number of perforators and their distance from the medial malleolus were also studied. Postoperative CTA was performed on the 7th to 10th day, with emphasis on postoperative changes of the perforators on which the flaps were based. Results One to four posterior tibial perforators were found between 5 cm and 8 cm proximal to the medial malleolus. After flap transfer, the perforators could be traced to variable distance through the total length of the flap. The perforators formed small vascular loop in 12 patients, following retrograde posterior tibial flap transfer. The height of the loop, the number of such loops, the dilatation and tortuosity of the perforators, and their longitudinal orientation were studied in detail. Most of the findings can be explained by mechanical realignment of perforators as well as by the delay phenomenon associated with retrograde fasciocutaneous flaps. Conclusion It was concluded that the morphological changes associated with the perforators explained the vascular rationality and success of these flaps.

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Measurement of Wound Healing and Tissue Repair

Agarwal

Bhattacharya

2012

Measurements in Wound Healing

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Reconstructive implications of adipofascial flaps in limb defects

Cited by 4 publications

References 15 publications

A study on clinical application of Adipofascial flaps for reconstruction in leg defects

A study on clinical application of Adipofascial flaps for reconstruction in leg defects

Radiological Evaluation of Postsurgical Course of Perforators in Retrograde Posterior Tibial Fasciocutaneous Flaps for Distal Leg and Foot Defects

Measurement of Wound Healing and Tissue Repair

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