DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20183222

The lateral supramalleolar flap: a reliable option for lower leg and foot reconstruction

Pradeep Goil, Pankaj Sharma, Manojit Midya, Gautam Prakash

Abstract


Background: The lateral supramalleolar flap is based on a perforator of the peroneal artery, emanating at approximately 5 cm above the lateral malleolus on the anterior aspect of lower third leg.

Methods: Our technique of harvesting the supramalleolar flap is by using a fasciocutaneous pedicle and minimal perforator dissection. We have done 45 cases in the last 7 years and have got favourable results with this technique.

Results: We have not had a single case of total flap necrosis of a supramalleolar flap in our experience over the last 7 years. We routinely perform this flap when the reverse sural flap territory is not available.

Conclusions: The lateral supramalleolar flap is a useful flap for coverage of lower third leg, ankle and dorsal foot defects. If raised as described, the reliability of this flap is increased.

 


Keywords


Supramalleolar flap, Lower third leg, Foot, Ankle, Reconstruction

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References


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