Is sural flap a reliable option for wound coverage around the ankle?

Mohd Yusof, Nazri and Sulong, Ahmad Fadzli and Sharifudin, Mohd Ariff (2016) Is sural flap a reliable option for wound coverage around the ankle? In: 3rd AOTrauma Asia Pacific Scientific Congress & TK Experts' Symposiium 2016, 27th-28th May 2016, Chengdu, China. (Unpublished)

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Abstract

Soft tissue coverage in the distal tibia, heel and ankle remain a challenging issue in orthopaedic surgery. Free flap is considered the best option, however, distally based reverse sural flap seems effective in relatively small wounds or in unfit patients. The ischaemic complications for sural flap could reach 36%, therefore, a two stage procedure was introduced. Improved outcome has been attributed to the choke vessels opening up, in which they form communicating vessels between the adjacent perforators and the angiosome territory. Following a review of our practice, we began performing a delayed (2 stage) procedure for patients with comorbidities or large wounds distal to the ankle with no ischaemic complications.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	3756/50859
Uncontrolled Keywords:	sural flap, wound, ankle
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics R Medicine > RD Surgery > RD92 Wounds and injuries
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	DR MOHD ARIFF SHARIFUDIN
Date Deposited:	09 Jun 2016 14:25
Last Modified:	22 May 2018 11:11
URI:	http://irep.iium.edu.my/id/eprint/50859

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