scholarly journals Distally Based Lateral Hemi-soleus Muscle Flap for Osseous and Soft Tissue Defects as a Complication of Total Ankle Replacement: A Case Report

2018 ◽  
Vol 1 (1) ◽  
pp. 35-40
Author(s):  
Edgardo R. Rodriguez-Collazo ◽  
Arshad A. Khan ◽  
Mathew W. Cerniglia ◽  
John Toole ◽  
Hamid A. Khan
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soleus Muscle ◽  
Muscle Flap ◽  
Total Ankle Replacement ◽  
Soft Tissue Defects ◽  
Ankle Replacement ◽  
Distally Based ◽  
Tissue Defects

Distally Based Peroneus Brevis Muscle Flap for Lower Extremity Defect Reconstruction in Severely Ill Multimorbid Patients

2021 ◽  
Author(s):  
Cornelius Dieter Schubert ◽  
Jochen von Freyhold-Hünecken ◽  
Thomas Bittrich ◽  
Marie Luise Onken ◽  
Laura Tomala ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Operating Time ◽  
Muscle Flap ◽  
Soft Tissue Defects ◽  
Inclusion Criteria ◽  
Defect Reconstruction ◽  
Peroneus Brevis ◽  
Distally Based ◽  
Tissue Defects

Abstract Background Reconstruction of lower extremity soft tissue defects is an exceptional surgical challenge, especially in multimorbid, elderly and severely ill patients with their thin and tense local soft-tissue conditions and increased perioperative risk. The distally based peroneus brevis muscle flap (DPBM), a local flap based on the muscular branches of the fibular artery, could pose a pragmatic solution. The objective of this study was to evaluate and quantify DPBM defect reconstruction in the lower leg, especially in elderly, multimorbid and severely ill patients. Material and Methods The DPBM as a surgical option in defect reconstruction in multimorbid, elderly, severely ill patients (inclusion criteria: at least 3 pre-existing comorbidities, patient age: at least 55 years, ASA status: at least III) was evaluated in a retrospective single-centre study from 01 April 2014 to 31 December 2019. The electronic SAP health records (EHR) were analysed according to 18 criteria, including patient details, extent of multimorbidity, defect characteristics, clinical outcome, and complications. Outcome Ten patients with a mean age of 72.6 years, a mean number of 8.5 pre-existing comorbidities and a mean ASA status of 3.1 met the inclusion criteria. The leading causes of defects, each with exposed tendons, bones, joint capsule, or joint, were chronic ulcers (n = 5) and soft tissue defects resulting from fractures (n = 3). In case of DMPB the success rate was 100% (no partial or total loss) with a short operating time (mean: 103 min) and a brief postoperative length of stay (mean: 11 d). In 2 patients (20%), DPBM surgery had to be discontinued intraoperatively and an alternative technique of defect reconstruction had to be adopted. The reasons included impaired muscle perfusion and fatty degeneration of the peroneus brevis muscle. Conclusion The DPBM flap allows straightforward, fast and safe defect reconstruction in the lower extremity, particularly in elderly, multimorbid and severely ill patients at risk. In patients with inadequate peroneal brevis muscle, however, DMPB surgery should be discontinued intraoperatively and the defect reconstructed using alternative techniques.

scholarly journals Distally-based Peroneus Brevis Turnover Muscle Flap in the Reconstruction of Soft Tissue Defects

2020 ◽  
Vol 8 (12) ◽  
pp. e3290
Author(s):  
Marco Malahias ◽  
Haitham Khalil ◽  
Sahar Ahmed Abdalbary ◽  
Rasha Abdelkader
Keyword(s):  
Soft Tissue ◽  
Muscle Flap ◽  
Soft Tissue Defects ◽  
Peroneus Brevis ◽  
Distally Based ◽  
Tissue Defects

Reconstruction of soft tissue defects of the lower leg with the distally based medial adipofascial flap

1994 ◽  
Vol 47 (2) ◽  
pp. 132-137 ◽  
Author(s):  
Sin-Daw Lin ◽  
Chung-Sheng Lai ◽  
Chih-Kang Chou ◽  
Chin-Wei Tsai ◽  
Chin-Cheng Tsai
Keyword(s):  
Soft Tissue ◽  
Lower Leg ◽  
Soft Tissue Defects ◽  
Adipofascial Flap ◽  
Distally Based ◽  
Tissue Defects

scholarly journals Restoration of middle third leg soft tissue defects using a distally based hemigastrocnemius flap

2021 ◽  
Vol 19 (2) ◽  
pp. 319
Author(s):  
WaelMohamed Ayad ◽  
Alhosiney Salalheldin Elhosiney ◽  
AhmedAbu ElsoudSalim
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Distally Based ◽  
Tissue Defects

The Bilobed Racquet Flap or Extended Seagull Flap for Thumb Reconstruction: A Case Report

2018 ◽  
Vol 23 (01) ◽  
pp. 128-131
Author(s):  
José Couceiro ◽  
Mariangeles De la Red-Gallego ◽  
Luis Yeste ◽  
Higinio Ayala ◽  
Manuel Sanchez-Crespo ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Thumb Reconstruction ◽  
Degloving Injury ◽  
Dorsal Metacarpal Artery ◽  
The Subject ◽  
Tissue Defects

The treatment of extensive soft tissue defects in the thumb with dorsal metacarpal artery flaps has been previously reported in the literature. Island flaps from the dorsum of the index and long fingers have been the subject of many reports and studies. However, when the defect involves the whole thumb, a 360° circumferential defect, standard first or second dorsal metacarpal artery flaps are usually insufficient. There are fewer reports on the use of bilobed flaps for this application and we have found no reports on the use of bilobed racquet flaps or extended seagull flaps as treatment for this condition. We report the salvage of a thumb degloving injury with use of a bilobed racquet flap.

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