Versatility of the Extensor Digitorum Brevis Muscle Flap in Lower Limb Reconstruction

Abdelrahman, Islam; Elmasry, Moustafa; Steinvall, Ingrid; Olofsson, Patrik; Nettelblad, Hans; Zdolsek, Joachim

doi:10.1097/gox.0000000000002071

Cited by 10 publications

(2 citation statements)

References 29 publications

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“…Мышцы тыла стопы представлены коротким разгибателем пальцев, коротким разгибателем большого пальца стопы и тыльными межкостными мышцами. Короткий разгибатель пальцев является плоской мышцей трапециевидной формы [3,6]. Берет начало от верхней и латеральной поверхностей передней части пяточной кости, направляется дистально, закан-чивается четырьмя плоскими сухожилиями в области II-V пальцев стопы.…”

Section: оригинальная статьяunclassified

Anatomical features of the extensor digitorum brevis muscle as a plastic material in reconstructive surgery of facial paralysis

Askerov

Topolnitsky

Зайратьянц

2020

jour

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Relevance. Facial paralysis is a common neurological illnesses of the maxillofacial region. Gold standard of dynamic correction of permanent facial paralysis is gracilis muscle transfer. However, using this flap is impractical or impossible in some cases. There are few domestic and international publications about extensor digitorum brevis muscle for facial reanimation surgery.Purpose. Assessment of muscle variability on the dorsum of the foot; analysis of blood supply and innervation of the extensor digitorum brevis muscle.Materials and methods. Operations performed on 10 unclaimed corpses: dissection of the extensor digitorum brevis muscle, as well as the blood vessels and nerves of the dorsum of the foot. The legal and ethical requirements for such studies were observed planning the design of the study and during work.Results. As a result, in 80% of cases, was found a typical anatomy of muscles, blood vessels, and nerves in the dorsum of the foot. In 10% was found a typical anatomy of muscles and nerves, but there was no lateral tarsal artery – the branch of the dorsal artery of the foot. Blood supply to the extensor digitorum brevis muscle performed by perforating branches of the peroneal artery. In 10% was found subtotal atrophy and fibrous degeneration of the extensor digitorum brevis muscle.Conclusions. The use of the extensor digitorum brevis muscle is a perspective method for the treatment of facial paralysis. Harvesting of this flap is complicated.

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Section: оригинальная статьяunclassified

Anatomical features of the extensor digitorum brevis muscle as a plastic material in reconstructive surgery of facial paralysis

Askerov

Topolnitsky

Зайратьянц

2020

jour

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“…It has a wide arc of rotation, which allows for coverage from the lower half of the leg up to the metatarsophalangeal joints on the dorsal aspect and base of the metatarsal bones on the plantar aspect of the foot [ 3 , 4 ]. Compared with the distally based peroneus brevis and the extensor digitorum brevis muscle flaps, the RSAF can be applied in larger defects [ 5 , 6 ]. It is an extremely versatile option, both proximally and distally, and has been used to cover even very large defects (areas as large as approximately 17 × 16 cm 2 to 20 × 15 cm 2 ) [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

A Single-Center Surgical Experience With the Reverse Sural Artery Flap as a Reliable Solution for Lower Leg Soft Tissue Defects, With Minimum Two-Year Follow-Up

Athanaselis

Fyllos

Zibis

et al. 2021

Cureus

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Aim: Small soft tissue defects of the distal tibia and hindfoot resulting from traumatic, operative, or neoplastic conditions and chronic ulcers can be successfully dealt with the use of the reverse sural artery flap (RSAF). This study aims to describe a single center's results and familiarity with this technique over a 15-year period of time.Material and methods: We retrospectively reviewed the clinical files of patients who were consecutively treated with RSAF and regularly followed up between January 1, 2004 and December 31, 2018, with a minimum postoperative follow-up period of two years. Patient demographics and comorbidities, location of the defect, performing surgeon, mean operation time, flap pedicle width, mean size of the defect, days of hospitalization following the operation, healing flap rate, and complications were recorded.Results: The sample consisted of 30 adult patients (25 men, 5 women), with a mean age of 51.07 years (16-80 years, SD 18.61). The mean operation time was 99.03 min (range 83-131, SD 10.57), and the mean size of the defect was 11.11 cm 2 (range 6.1-19.4, SD 3.22). Successful flap rate (complete healing and coverage of the defect, with or without additional minor intervention) was 83.3% (25/30). Among successfully healed flaps, six patients with partial necrosis of the dermis were treated by an additional split-thickness skin graft. Five flaps failed to heal. Deep infection was present in two patients, leading to flap failure and reoperation. Serious venous congestion resulting in flap ischemia occurred in three cases. Circumferential keloid formation (not affecting successful outcome) was present in seven cases. Flap thickness approximated to normal within six months. All donor sites healed well (either by a split-thickness cutaneous flap or by immediate wound closure). Light paresthesia on the lateral border of the leg and foot disappeared within six months.Conclusions: A single-center experience with the RSAF has yielded satisfactory clinical outcomes, and the long-term tackle with the difficult reconstruction conditions around the ankle, has led to valuable advice on surgical technique and postoperative protocol, based on an anatomical basis.

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Essential Anatomy of the Lower Extremity

Fahradyan

Patel

2020

Handbook of Lower Extremity Reconstruction

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Versatility of the Extensor Digitorum Brevis Muscle Flap in Lower Limb Reconstruction

Abstract: Supplemental Digital Content is available in the text.

Cited by 10 publications

References 29 publications

Anatomical features of the extensor digitorum brevis muscle as a plastic material in reconstructive surgery of facial paralysis

Anatomical features of the extensor digitorum brevis muscle as a plastic material in reconstructive surgery of facial paralysis

A Single-Center Surgical Experience With the Reverse Sural Artery Flap as a Reliable Solution for Lower Leg Soft Tissue Defects, With Minimum Two-Year Follow-Up

Essential Anatomy of the Lower Extremity

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