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Reversed Adipofascial Flap in Lower Leg: Can It Replace the Free Flap?  

Lee, Young Jin (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
Ahn, Hee Chang (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
Choi, Methew Seung Suk (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
Hwang, Weon Joong (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
Publication Information
Archives of Plastic Surgery / v.32, no.1, 2005 , pp. 100-104 More about this Journal
Abstract
A soft tissue defect of the lower leg or foot presents a challenging problem. Reconstructive surgeon should be armed at all points of wound site, tendon and bone exposure, injury of major vessel and so on in the lower limb. We reconstructed the defects of lower legs and feet of 25 patients between February, 1997 and December, 2003. Applying reversed adipofascial flap with skin graft on a soft tissue defect of the lower leg or foot is challenging. We did a comparative study of 25 reversed adipofascial flaps with 51 free flaps. All 25 cases of reverse adpofascial flap reconstruction were successful except for a partial loss of skin graft in 3 occasions. The reversed adipofascial flap had a merit of a short operation time and hositalization, a high success rate and minimum complications. Besides major vessels in the lower leg are better preserved and donor morbidity is minimal. However, the flap is unmerited in reconstructing a hug hallowed defect and in the leg with poor blood circulation and once previous surgery. The operators may consider the feasible substitution of reversed adipofascial flap for free flap before applying in the lower leg.
Keywords
Reversed adipofascial flap;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Rainer C, Schwabegger AH, Bauer T, Ninkovic M, Klestil T, Harpf C, Ninkovic MM: Free flap reconstruction of the foot. Ann Plast Surg 42: 595, 1999   DOI   ScienceOn
2 Hong G, Steffens K, Wang FB: Reconstruction of the lower leg and foot with the reverse pedicled posterior tibial fasciocutaneous flap. Br J Plast Surg 42: 512, 1989   DOI   ScienceOn
3 Donski PK, Fogdestam I: Distally based fasciocutaneous flap from the sural region. Scand J Plast Reconstr Surg 17: 191, 1983   DOI
4 Amarante J, Costa H, Reis J, Soares R: A new distally based fasciocutaneous flap of the leg. Br J Plast Surg 39: 338, 1986   DOI   ScienceOn
5 Worseg AP, Kuzbari R, Alt A, JaN G, Tschabitscher M, Holle J: The vertically based deep fascia turnover flap of the leg: Anatomic studies and clinical applications. Plast Reconstr Surg 100: 1746, 1997   DOI   ScienceOn
6 Ponten B: The fasciocutaneous flap: Its use in soft tissue defects of the lower leg. Br J Plast Surg 34: 215, 1981   DOI   ScienceOn
7 Wee JTK: Reconstruction of the lower leg and foot with the reverse-pedicled anterior tibial flap. Br J Plast Surg 39: 327, 1986   DOI   ScienceOn
8 Gumener R, Zbrodowski A, Montandon D: The reversed fasciosubcutaneous flap in the leg. Plast Reconstr Surg 88: 1034, 1991   DOI   ScienceOn
9 Thatte R: Random-pattern de-epithelialised tum-over flaps to replace skin loss in the upper third of the leg. Br J Plast Surg 34: 312, 1981   DOI   ScienceOn
10 Ferreira MC, Gabbianelli G, Alonso N, Fontana C: The distal pedicle fascia flap of the leg. Scand J Plast Reconstr Surg 20: 133, 1986   DOI
11 Yoshimura M, Imura S, Shimamura K, Ymauchi S, Nomura S: Peroneal flap for reconstruction in the extremity: Preliminary report of a new fasciocutaneous flap. Br J Plast Surg 74: 402, 1984