Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
권호 표지

Lateral Supramalleolar Flap for Reconstruction of Soft Tissue Defect around the Ankle Joint

  • Han, Soo-Hong (Department of Orthopaedic Surgery, CHA Bundang Medical Center) ;
  • Kim, Seong-Hui (CHA Gumi Medical Center, CHA University) ;
  • Lee, Soon-Chul (Department of Orthopaedic Surgery, CHA Bundang Medical Center) ;
  • Lee, Ho-Jae (Department of Orthopaedic Surgery, CHA Bundang Medical Center) ;
  • Kim, Woo-Hyun (Department of Orthopaedic Surgery, CHA Bundang Medical Center) ;
  • Bong, Sun-Tae (Department of Orthopaedic Surgery, CHA Bundang Medical Center) ;
  • Song, Won-Tae (Department of Orthopaedic Surgery, CHA Bundang Medical Center)
  • Received : 2014.04.17
  • Accepted : 2014.05.19
  • Published : 2014.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Soft tissue defect on foot and ankle is vulnerable and requires a thin flap for improvement of aesthetic and functional results. Lateral supramalleolar flap is a simple and fast procedure, which can preserve and supply reliable constant blood flow, and causes fewer donor site complications. The authors reviewed our cases and report the clinical results. Materials and Methods: Ten cases of soft tissue defects on the lower leg, around the ankle were treated with lateral supramalleolar flap. There were seven males and three females with a mean age of 54.8 years. The mean size of flaps was $5.9{\times}6.3$ cm and the mean follow-up period was 23 months. Flap survival and postoperative complications were evaluated. Results: Nine flaps survived completely without loss of flap. There was one case of partial wound dehiscence requiring debridement and repair, and another case of necrotic flap change requiring partial bone resection and closure. All patients were capable of weight bearing ambulation at the last follow up. Conclusion: The authors suggest that the lateral supramalleolar flap could be a useful option for treatment of soft tissue defect around the ankle joint.

Keywords

References

  1. Jeng SF, Wei FC, Kuo YR. Salvage of the distal foot using the distally based sural island flap. Ann Plast Surg 1999;43:499-505. https://doi.org/10.1097/00000637-199911000-00006
  2. Ponten B. The fasciocutaneous flap: its use in soft tissue defects of the lower leg. Br J Plast Surg 1981;34:215-20. https://doi.org/10.1016/S0007-1226(81)80097-5
  3. Donski PK, Fogdestam I. Distally based fasciocutaneous flap from the sural region. A preliminary report. Scand J Plast Reconstr Surg 1983;17:191-6. https://doi.org/10.3109/02844318309013118
  4. Smith PJ, Foley B, McGregor IA, Jackson IT. The anatomical basis of the groin flap. Plast Reconstr Surg 1972;49:41-7. https://doi.org/10.1097/00006534-197201000-00008
  5. Lee YH, Rah SK, Choi SJ, Chung MS, Baek GH. Distally based lateral supramalleolar adipofascial flap for reconstruction of the dorsum of the foot and ankle. Plast Reconstr Surg 2004;114:1478-85.
  6. Agir H, Sen C, Onyedi M. Extended lateral supramalleolar flap for very distal foot coverage: a case with arteriovenous malformation. J Foot Ankle Surg 2007;46:310-3. https://doi.org/10.1053/j.jfas.2007.02.004
  7. Masquelet AC, Romana MC. External supramalleolar flap in the reconstructive surgery of the foot. J Chir (Paris) 1988;125:367-72.
  8. Recalde Rocha JF, Gilbert A, Masquelet A, Yousif NJ, Sanger JR, Matloub HS. The anterior tibial artery flap: anatomic study and clinical application. Plast Reconstr Surg 1987;79:396-406. https://doi.org/10.1097/00006534-198703000-00014
  9. Woo SH, Choi BC, Oh SJ, Seul JH. Classification of the first web space free flap of the foot and its applications in reconstruction of the hand. Plast Reconstr Surg 1999;103:508-17. https://doi.org/10.1097/00006534-199902000-00022
  10. Sicilia-Castro D, Garcia-Perla A, Infante-Cossio P, Gutierrez-Perez JL, Gomez-Cia T, Garcia-Perla A. Combined fibula osteoseptocutaneouslateral supramalleolar flap for reconstruction of composite mandibular defects. Plast Reconstr Surg 2003;111:2003-8. https://doi.org/10.1097/01.PRS.0000056833.17907.01
  11. Ahmed SK, Hashmi PM. Delayed supramalleolar flap--an innovative technique for enhanced viability. J Ayub Med Coll Abbottabad 2005;17:76-9.
  12. Lee YH, Rah SK, Choi SJ, Chung MS, Baek GH. Distally based lateral supramalleolar adipofascial flap for reconstruction of the dorsum of the foot and ankle. Plast Reconstr Surg 2004;114:1478-85.
  13. Kwon BK, Chung DW, Lee JH, Choi IH, Song JH, Lee SW. Onestage reverse lateral supramalleolar adipofascial flap for soft tissue reconstruction of the foot and ankle joint. J Korean Soc Microsurg 2007;16:93-9.