Il lembo neurocutaneo surale a base distale nella ricostruzione dell'arto inferiore: nostra esperienza.

Translated title of the contribution: [The distally based sural neurocutaneous flap in reconstruction of lower limb: our experience].

S. Chiummariello, M. Iera, R. Maffia, C. Alfano

Research output: Contribution to journalArticle

Abstract

Our study concerns eight patients who have undergone surgery at the Department of Plastic, Reconstructive and Aesthetic Surgery of the University of Perugia, for the reconstruction of lower limb using the distally based sural neurocutaneous flap for covering loss of substance of various origin, from October 2007 to November 2009. The aim of our study is to demonstrate the reliability of distally based neurocutaneous sural flap in reconstruction of lower limb following a loss of substance of different nature involving the lower third of the leg. Eight patients were on systemic and local clinical conditions that can not be undergoing surgery with use of free flap. In five patients (62%) the loss of substance had been caused by traffic accident while another patient (12%) had been the victim of an accident at work. Two patients (26%) had suffered from pressure ulcers and were unstable with regard to the vascularisation. We observed no cases of total necrosis of the flap and in all eight patients we showed good healing. Follow up was 2, 4, 6, and 9 months after surgical intervention. Our study has shown that the use of the distally based sural neurocutaneous flap in reconstruction of lower limbs, as a salvage procedure, is still a valid alternative procedure to free tissue transfer. Because of reduced operative times, reduced anaesthetic risk, reduced risk of total flap necrosis and reduced costs, it could be considered as a preferable choice in selected cases.

Translated title of the contribution[The distally based sural neurocutaneous flap in reconstruction of lower limb: our experience].
Original languageItalian
Pages (from-to)146-149
Number of pages4
JournalGiornale di Chirurgia
Volume32
Issue number3
Publication statusPublished - Mar 2011

ASJC Scopus subject areas

  • Surgery

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