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| Id: | 17724
| | Author: | Liwen, Dong; Futian, Li; Juan, Jiang; Guochang, Zhang. | | Title: | Techniques for covering soft tissue defects resulting from plantar ulcers in leprosy: Part IV - use of medial leg flap and medial knee flap.
| | Source: | In: Wen, Dong Li.Microscopic surgical techniques in leprosy. Shanghai, STD, 2001. p.46-59ilus, tab.
| | Abstract: | The medial leg flap, based on the cutaneous branches of the posterior tibial artery is raised from the middle and lower regions of the medial aspect of the leg. It has a long pedicle, and it can be used as a free flap to reconstruct the distant soft tissue and also as an island flap.
We have used this retrograde island flap for a surfacing ulcerated areas in six leprosy patients. The flap survived in all cases. At 24 to 60 months follow up examination, ulceration had not recurred in any for them.
The medial knee flap consisting of the skin and subcutaneous tissu of lower part of the medial side of the thih and upper part the leg, is suitable for covering soft tissue cushion defects of the extremities because of the constant vessels, long pedicle, wide diameter, well recognizable sensory nerves and less subcutaneous fat.
We have used the medial knee flap for the resurfacing sizeable raw areas due to ulceration in there leprosy patients. the flap survived in all cases there was no recurrence of ulceration duriong the 70-148 months follow up period.
| | Descriptors: | ULCERA DA PERNA/diag
ULCERA DA PERNA/reabil
ULCERA DA PERNA/cirurg
JOELHO/anorm
JOELHO/inerv
JOELHO/cirurg
| | Limits: | RELATO DE CASO
ESTUDO COMPARATIVO
HUMANO
| | Location: | Br191.1; WC335.603. 48m |
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