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Original Article
- Distally based lateral supramalleolar flap for reconstructing distal foot defects in India: a prospective cohort study
- Raja Kiran Kumar Goud, Palukuri Lakshmi, Sanujit Pawde, Madhulika Dharmapuri, Swati Sankar, Sandeep Reddy Chintha
- J Trauma Inj. 2023;36(3):217-223. Published online September 18, 2023
- DOI: https://doi.org/10.20408/jti.2023.0005
- 15,707 View
- 716 Download
- 3 Web of Science
- 3 Citations
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Abstract
PDF - Purpose
Defects involving the ankle and foot are often the result of road traffic accidents. Many such defects are composite and require a flap for coverage, which is a significant challenge for reconstructive surgeons. Various locoregional options, such as reverse sural artery, reverse peroneal artery, peroneus brevis muscle, perforator-based, and fasciocutaneous flaps, have been used, but each flap type has limitations. In this study, we used the distally based lateral supramalleolar flap to reconstruct distal dorsal defects of the foot. The aim of this study was to analyze the efficacy of the flap in reconstructing distal dorsal defects of the foot. The specific objectives were to study the adequacy, reach, and utility of the lateral supramalleolar flap for distal defects of the dorsum of the foot; to observe various complications encountered with the flap; and to study the functional outcomes of reconstruction.
Methods
The distal dorsal foot defects of 10 patients were reconstructed with distal lateral supramalleolar flaps over a period of 6 months at a tertiary care center, and the results were analyzed.
Results
We were able to effectively cover distal foot defects in all 10 cases. Flap congestion was observed in two cases, and minor graft loss was seen in two cases.
Conclusions
The distally based lateral supramalleolar flap is a good pedicled locoregional flap for the coverage of distal dorsal foot and ankle defects of moderate size, with relatively few complications and little morbidity. It can be used as a lifeboat or even substitute for a free flap. -
Summary
Citations
Citations to this article as recorded by
- Anatomical Study of the Anastomosis Stations of Lateral Supramalleolar Artery Flap and Its Application in the Reconstruction of Distal Leg, Ankle, and Dorsum of Foot Defects
Thalavirithan Margabandu Balakrishnan, U. Raseedha Begum, Madhuvanti Sarada Bharathwaj, Madhumitha S., Pavithra Thangavel, M. Sugumar
Indian Journal of Plastic Surgery.2025; 58(06): 436. CrossRef - Persuasive of lateral supra malleolar flap for distal leg and foot reconstruction. A cross-sectional study
Amin M. Yassin, Momen Mohamed, Albra Kamal, Ammar Ahmed Hassan, Samir Faisal, Suhail Bayomi, Mohamed Dirar
JPRAS Open.2025; 45: 148. CrossRef - Microscopic retrograde great saphenous vein supercharged anastomosis to address propeller flap congestion in lower limb defect reconstruction: A case report
Ali Yavari, Hesam Amini, Pedram Akhlaghi
International Journal of Surgery Case Reports.2025;[Epub] CrossRef
Case Report- Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report
- Pedro Henry Neto, Zamara Brandão Ribeiro, Adriano Bastos Pinho, Carlos Henrique Rodrigues de Almeida, Carlos Alberto de Albuquerque Maranhão, Joaquim da Cunha Campos Goncalves
- J Trauma Inj. 2022;35(3):209-214. Published online May 26, 2022
- DOI: https://doi.org/10.20408/jti.2021.0048
- 12,726 View
- 226 Download
- 1 Web of Science
- 2 Citations
-
Abstract
PDF
- We describe a case of hyperbaric oxygen therapy (HBOt) as an adjunct to treatment of a crush injury to the hand. A 34-year-old male paramedic was involved in a motor vehicle accident and admitted for diagnosis and surgical treatment. He sustained a crush injury to his right hand and presented with significant muscle damage, including multiple fractures and dislocations, an avulsion injury of the flexor tendons, and amputation of the distal phalanx of the little finger. He underwent reconstructive surgery and received HBOt over the following days. In the following 2 months, he lost the distal and middle phalanges of the little finger and recovered hand function. Posttraumatic compartment syndrome responds well to HBOt, which reduces edema and contributes to angiogenesis, as well as promoting the cascade of healing events. High-energy trauma causes massive cell destruction, and the blood supply is usually not sufficient to meet the oxygen demands of viable tissues. Hyperbaric oxygenation by diffusion through interstitial and cellular fluids increases tissue oxygenation to levels sufficient for the host’s responses to injury to work and helps control the delayed inflammatory reaction. HBOt used as an adjunct to surgical treatment resulted in early healing and rehabilitation, accelerating functional recovery. The results suggest that adjunctive HBOt can be beneficial for the treatment of crush injuries of the hand, resulting in better functional outcomes and helping to avoid unnecessary amputations.
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Summary
Citations
Citations to this article as recorded by- The impact of hyperbaric oxygen therapy on skin graft outcomes: A multi-center retrospective cohort study
Xiang Zhou, Sheng Luo, Yue Lin, Yazhu You, Yuancheng Zhang, Jian Qi
Asian Journal of Surgery.2026;[Epub] CrossRef - Hyperbaric Oxygen Therapy: An Evidence-Based Primer for Emergency Physicians
Margot Samson, Michael Gottlieb, Christopher Logue, Daniel Popa
The Journal of Emergency Medicine.2025; 70: 35. CrossRef
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