Lower-limb Flip-Flap: A simple reliable modification of adipofascial flap for extensive tibial crest cutaneous defect.
Adipofascial flap
Defect
Lower limb
Perforator flap
Tibia
Journal
Orthopaedics & traumatology, surgery & research : OTSR
ISSN: 1877-0568
Titre abrégé: Orthop Traumatol Surg Res
Pays: France
ID NLM: 101494830
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
18
06
2019
revised:
12
03
2020
accepted:
27
03
2020
pubmed:
2
7
2020
medline:
10
6
2021
entrez:
2
7
2020
Statut:
ppublish
Résumé
Large cutaneous defects exposing the whole tibial crest are difficult to cover and are conventionally best treated with free flaps. This article describes a technical modification of the adipofascial flap in this indication. The "flip-flap" is vascularized by the posterior tibial artery perforators harvested on the medial aspect of the leg. The hypodermal and fascial tissue is de-epidermized and elevated from the posterior midline up to the medial edge of the soleus muscle, then folded over the exposed tibial crest like a page of a book. A 27×6cm effect was successfully covered on a 72 year-old patient with vascular status precluding free flap. The flap healed by day 21. This technical modification is simple and allows coverage of large tibial crest skin defect when a free flap is not possible.
Identifiants
pubmed: 32605833
pii: S1877-0568(20)30175-4
doi: 10.1016/j.otsr.2020.03.026
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
819-823Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.