Lower-limb Flip-Flap: A simple reliable modification of adipofascial flap for extensive tibial crest cutaneous defect - 19/08/20
, Alexandra Forli b, Jean-Louis Charissoux a, Christian Mabit a, Pierre Sylvain Marcheix a
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Abstract |
Introduction |
Large cutaneous defects exposing the whole tibial crest are difficult to cover and are conventionally best treated with free flaps. This article describes a technical modification of the adipofascial flap in this indication.
Methods |
The “flip-flap” is vascularized by the posterior tibial artery perforators harvested on the medial aspect of the leg. The hypodermal and fascial tissue is de-epidermized and elevated from the posterior midline up to the medial edge of the soleus muscle, then folded over the exposed tibial crest like a page of a book.
Results |
A 27×6cm effect was successfully covered on a 72 year-old patient with vascular status precluding free flap. The flap healed by day 21.
Discussion/conclusion |
This technical modification is simple and allows coverage of large tibial crest skin defect when a free flap is not possible.
Le texte complet de cet article est disponible en PDF.Keywords : Adipofascial flap, Perforator flap, Tibia, Lower limb, Defect
Plan
Vol 106 - N° 5
P. 819-823 - septembre 2020 Retour au numéro
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