Burns/surgery; Follow-Up Studies; Humans; Leg/anatomy & histology; Leg/blood supply; Leg Injuries/surgery; Male; Middle Aged; Plastic Surgery Procedures/methods; Skin Transplantation/methods; Tibia; Surgical Flaps/blood supply; Adipofascial flap; Burn; Perforator; Surgery; Emergency Medicine; Critical Care and Intensive Care Medicine
Abstract :
[en] Bone exposure constitutes a frequent and difficult problem in burn patients. Where free flaps remain indicated in tibial osteomyelitis, a pedicled fascial or adipofascial flap provides an excellent alternative for coverage of simple tibial crest exposure. In fact, the adipofascial tissue of the anteromedial aspect of the leg can be mobilized over the whole length of the tibia. It is vascularized by the saphenous artery and the posterior tibial artery perforators. This pattern of blood supply allows a wide range of use for any size of burn defect in this area. Therefore, this local pedicled flap provides an excellent solution for coverage of the exposed tibia after severe burns.
Disciplines :
Surgery
Author, co-author :
Heymans, O; Department of Plastic and Reconstructive Surgery, CHU Sart Tilman, University of Liège, B-4000, Liège, Belgium
Verhelle, N; Department of Plastic and Reconstructive Surgery, CHU Sart Tilman, University of Liège, B-4000 Liège, Belgium
Peters, S; Institute of Anatomy, University of Liège, Liège, Belgium
Nelissen, Xavier ; Université de Liège - ULiège > > Anatomie humaine topographique et splanchnologie
Oelbrandt, B; Department of Plastic and Reconstructive Surgery, CHU Sart Tilman, University of Liège, B-4000 Liège, Belgium
Language :
English
Title :
Use of the medial adipofascial flap of the leg for coverage of full-thickness burns exposing the tibial crest.
Publication date :
November 2002
Journal title :
Burns: Journal of the International Society for Burn Injuries
Calderon W., Chang N., Mathes S.J. Comparison of the effect of bacterial inoculation in musculocutaneous and fasciocutaneous flaps. Plast. Reconstr. Surg. 77:1986;785-794.
Godina M. Early microsurgical reconstruction of complex trauma of the extremeties. Plast. Reconstr. Surg. 78(3):1986;285-292.
Sekiguchi J., Haramoto U., Kobayashi S., Nomura S. Free flap transfer for the treatment of osteomyelitis of the lower leg. Scand. J. Plast. Reconstr. Surg. 32:1998;171-178.
Khouri R.K., Shaw W.W. Reconstruction of the lower extremity with microvascular free flaps: a 10-year experience with 304 consecutive cases. J. Trauma. 29(8):1989;1086-1094.
Rajacic N., Darweesh M., Jayakrishnan K., Gang R.K., Kojic S. The distally-based superficial sural flap for reconstruction of the lower leg and foot. Br. J. Plast. Surg. 49:1996;383-389.
Rajacic N., Gang R.K., Krishnan J., Kojic S. Lower leg reconstruction using distally-based saphenous island flap. Eur. J. Plast. Surg. 24:2001;7-11.
Rajacic N., Gang R.K., Darweesh M., Abdul Fetah N., Kojic S. Reconstruction of soft tissue defects around the knee with the use of the lateral sural fasciocutaneous artery island flap. Eur. J. Plast. Surg. 22:1999;12-16.
Lin S.D., Lai C.S., Tsai C.C., Chou C.K., Tsai C.W. Clinical application of the distally-based medial adiposofascial flap for soft tissue defects on the lower half of the leg. J. Trauma. 38:1995;623-629.
Lin S.D., Lai C.S., Chiu Y.T., Lin T.M., Chou C.K. Adiposofascial flap of the lower leg based on the saphenous artery. Br. J. Plast. Surg. 49:1996;390-395.
