Sural flap for tissue loss of the hindfoot in the diabetic
The purpose of this retrospective study was to evaluate the reliability of the sural flap with a distal pedicle for covering tissue loss of the posterior aspect of the heal and the malleolar region in diabetic patients. We present a retrospective consecutive series with 28 month follow-up. Thirteen...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , |
| التنسيق: | article |
| منشور في: |
2011
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/2622 http://www.bjjprocs.boneandjoint.org.uk/content/93-B/SUPP_IV/539.4.short |
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| _version_ | 1864513458964267008 |
|---|---|
| author | Assi, Chahine |
| author2 | Samaha, Camille Chamoun, Moussa Bitar, Diana Bonnel, François |
| author2_role | author author author author |
| author_facet | Assi, Chahine Samaha, Camille Chamoun, Moussa Bitar, Diana Bonnel, François |
| author_role | author |
| dc.creator.none.fl_str_mv | Assi, Chahine Samaha, Camille Chamoun, Moussa Bitar, Diana Bonnel, François |
| dc.date.none.fl_str_mv | 2011 2015-11-19T09:12:32Z 2015-11-19T09:12:32Z 2015-11-19 |
| dc.identifier.none.fl_str_mv | 2049-4394 http://hdl.handle.net/10725/2622 Assi, C., Samaha, C., Chamoun, M., Bitar, D., & Bonnel, F. (2011). 289. Sural flap for tissue loss of the hindfoot in the diabetic: 13 cases. Journal of Bone & Joint Surgery, British Volume, 93(SUPP IV), 539-539. http://www.bjjprocs.boneandjoint.org.uk/content/93-B/SUPP_IV/539.4.short |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Journal of Bone & Joint Surgery |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Sural flap for tissue loss of the hindfoot in the diabetic 13 Cases |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | The purpose of this retrospective study was to evaluate the reliability of the sural flap with a distal pedicle for covering tissue loss of the posterior aspect of the heal and the malleolar region in diabetic patients. We present a retrospective consecutive series with 28 month follow-up. Thirteen flaps in 13 patients (10 men, 3 women), mean age 64 years. A homolateral flap was used in all cases, covering on average 48 cm2. Substance loss involved the hind foot in ten cases and the malleolar region in three. Three patients had recent bone trauma, four had chronic osteitis and six a pressure wound involving the heel. All patients had non-insulin dependent diabetes mellitus. The flap head in 24 days on average (range 18–45), the donor site in 15 days. Eleven patients were able to wear normal shoes. At last follow-up all patients were free of infectious recurrence. There was one flap necrosis, three necrotic borders (one skin graft), two cases of venous insufficiency, and ten cases of hypoesthesia of the lateral border of the foot. There have not been any reports in the literature of the neurocutaneous sural flap with a distal pedicle for diabetic patients. In our series, this flap was found to be a reproducible solution for covering substance loss of the heel and malleolar region in the diabetic. This flap with a long pedicle does not require microvascular qualification. It is easy to perform, induces few functional sequelae. For diabetic patients, it is an alternative to amputation, without compromising future options since the vascular and muscle stock are preserved. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_a4d2c69a8e7880211ad5e41dfa5b8048 |
| identifier_str_mv | 2049-4394 Assi, C., Samaha, C., Chamoun, M., Bitar, D., & Bonnel, F. (2011). 289. Sural flap for tissue loss of the hindfoot in the diabetic: 13 cases. Journal of Bone & Joint Surgery, British Volume, 93(SUPP IV), 539-539. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/2622 |
| publishDate | 2011 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Sural flap for tissue loss of the hindfoot in the diabetic13 CasesAssi, ChahineSamaha, CamilleChamoun, MoussaBitar, DianaBonnel, FrançoisThe purpose of this retrospective study was to evaluate the reliability of the sural flap with a distal pedicle for covering tissue loss of the posterior aspect of the heal and the malleolar region in diabetic patients. We present a retrospective consecutive series with 28 month follow-up. Thirteen flaps in 13 patients (10 men, 3 women), mean age 64 years. A homolateral flap was used in all cases, covering on average 48 cm2. Substance loss involved the hind foot in ten cases and the malleolar region in three. Three patients had recent bone trauma, four had chronic osteitis and six a pressure wound involving the heel. All patients had non-insulin dependent diabetes mellitus. The flap head in 24 days on average (range 18–45), the donor site in 15 days. Eleven patients were able to wear normal shoes. At last follow-up all patients were free of infectious recurrence. There was one flap necrosis, three necrotic borders (one skin graft), two cases of venous insufficiency, and ten cases of hypoesthesia of the lateral border of the foot. There have not been any reports in the literature of the neurocutaneous sural flap with a distal pedicle for diabetic patients. In our series, this flap was found to be a reproducible solution for covering substance loss of the heel and malleolar region in the diabetic. This flap with a long pedicle does not require microvascular qualification. It is easy to perform, induces few functional sequelae. For diabetic patients, it is an alternative to amputation, without compromising future options since the vascular and muscle stock are preserved.PublishedN/A2015-11-19T09:12:32Z2015-11-19T09:12:32Z20112015-11-19Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2049-4394http://hdl.handle.net/10725/2622Assi, C., Samaha, C., Chamoun, M., Bitar, D., & Bonnel, F. (2011). 289. Sural flap for tissue loss of the hindfoot in the diabetic: 13 cases. Journal of Bone & Joint Surgery, British Volume, 93(SUPP IV), 539-539.http://www.bjjprocs.boneandjoint.org.uk/content/93-B/SUPP_IV/539.4.shortenJournal of Bone & Joint Surgeryinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/26222017-03-01T11:03:38Z |
| spellingShingle | Sural flap for tissue loss of the hindfoot in the diabetic Assi, Chahine |
| status_str | publishedVersion |
| title | Sural flap for tissue loss of the hindfoot in the diabetic |
| title_full | Sural flap for tissue loss of the hindfoot in the diabetic |
| title_fullStr | Sural flap for tissue loss of the hindfoot in the diabetic |
| title_full_unstemmed | Sural flap for tissue loss of the hindfoot in the diabetic |
| title_short | Sural flap for tissue loss of the hindfoot in the diabetic |
| title_sort | Sural flap for tissue loss of the hindfoot in the diabetic |
| url | http://hdl.handle.net/10725/2622 http://www.bjjprocs.boneandjoint.org.uk/content/93-B/SUPP_IV/539.4.short |