Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle

anatomy has improved in the last decade. It has lead to technique modification such as the staged procedure in performing sural flaps and improvement in the flap survival rate. The aim of this study was to evaluate the acute vascular complications (flap necrosis or congestion) of 29 patients who und...

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Main Authors:	Mohd Yusof, Nazri, Sulong, Ahmad Fadzli, Wan Sulaiman, Wan Azman, Mohammad Amin, Mohammad Azril
Format:	Article
Language:	English English
Published:	Malaysian Medical Associations 2016
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/51777/ http://irep.iium.edu.my/51777/ http://irep.iium.edu.my/51777/1/flap-necrosis-and-congestion.pdf http://irep.iium.edu.my/51777/4/51777_Acute%20vascular%20complications_Scopus.pdf

id	iium-51777
recordtype	eprints
spelling	iium-517772017-03-30T08:54:05Z http://irep.iium.edu.my/51777/ Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle Mohd Yusof, Nazri Sulong, Ahmad Fadzli Wan Sulaiman, Wan Azman Mohammad Amin, Mohammad Azril RD701 Orthopedics anatomy has improved in the last decade. It has lead to technique modification such as the staged procedure in performing sural flaps and improvement in the flap survival rate. The aim of this study was to evaluate the acute vascular complications (flap necrosis or congestion) of 29 patients who underwent distal base sural flap for coverage of wound around the ankle. Methods: Twenty-four males and five females with a mean age of 37.1 years old underwent sural flap surgery to cover wounds at around the ankle. There were 12 cases of open fracture, five infected fractures, four spoke injuries, four degloving injuries and four diabetic foot ulcers. Twentythree cases were done as a single stage procedure while six as a two-stage procedure. The flaps were tunnelled under the skin in three cases. Results: Twenty one flaps healed uneventfully, seven acute vascular complications occur in a single stage group: five developed partial necrosis, one had congestion with epidermolysis, and one had complete flap necrosis. Complications were treated by dressing or skin grafting and only one required a repeat flap surgery. Conclusions: Acute vascular complications may be minimised when sural flap is done in stages for elderly, diabetic, smokers and/or patients with large wound around the ankle. Even if the flap appears necrotic, the underlying structure may still be covered as the fasciosubcutaneous layer of the flap may still survive. Malaysian Medical Associations 2016-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/51777/1/flap-necrosis-and-congestion.pdf application/pdf en http://irep.iium.edu.my/51777/4/51777_Acute%20vascular%20complications_Scopus.pdf Mohd Yusof, Nazri and Sulong, Ahmad Fadzli and Wan Sulaiman, Wan Azman and Mohammad Amin, Mohammad Azril (2016) Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle. Medical Journal of Malaysia, 71 (2). pp. 47-52. ISSN 0300-5283 http://www.e-mjm.org/2016/v71n2/flap-necrosis-and-congestion.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Mohd Yusof, Nazri Sulong, Ahmad Fadzli Wan Sulaiman, Wan Azman Mohammad Amin, Mohammad Azril Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle
description	anatomy has improved in the last decade. It has lead to technique modification such as the staged procedure in performing sural flaps and improvement in the flap survival rate. The aim of this study was to evaluate the acute vascular complications (flap necrosis or congestion) of 29 patients who underwent distal base sural flap for coverage of wound around the ankle. Methods: Twenty-four males and five females with a mean age of 37.1 years old underwent sural flap surgery to cover wounds at around the ankle. There were 12 cases of open fracture, five infected fractures, four spoke injuries, four degloving injuries and four diabetic foot ulcers. Twentythree cases were done as a single stage procedure while six as a two-stage procedure. The flaps were tunnelled under the skin in three cases. Results: Twenty one flaps healed uneventfully, seven acute vascular complications occur in a single stage group: five developed partial necrosis, one had congestion with epidermolysis, and one had complete flap necrosis. Complications were treated by dressing or skin grafting and only one required a repeat flap surgery. Conclusions: Acute vascular complications may be minimised when sural flap is done in stages for elderly, diabetic, smokers and/or patients with large wound around the ankle. Even if the flap appears necrotic, the underlying structure may still be covered as the fasciosubcutaneous layer of the flap may still survive.
format	Article
author	Mohd Yusof, Nazri Sulong, Ahmad Fadzli Wan Sulaiman, Wan Azman Mohammad Amin, Mohammad Azril
author_facet	Mohd Yusof, Nazri Sulong, Ahmad Fadzli Wan Sulaiman, Wan Azman Mohammad Amin, Mohammad Azril
author_sort	Mohd Yusof, Nazri
title	Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle
title_short	Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle
title_full	Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle
title_fullStr	Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle
title_full_unstemmed	Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle
title_sort	acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle
publisher	Malaysian Medical Associations
publishDate	2016
url	http://irep.iium.edu.my/51777/ http://irep.iium.edu.my/51777/ http://irep.iium.edu.my/51777/1/flap-necrosis-and-congestion.pdf http://irep.iium.edu.my/51777/4/51777_Acute%20vascular%20complications_Scopus.pdf
first_indexed	2023-09-18T21:13:23Z
last_indexed	2023-09-18T21:13:23Z
_version_	1777411402227515392

Acute vascular complications (flap necrosis and congestion) with one stage and two stage distally based sural flap for wound coverage around the ankle

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