| ORIGINAL ARTICLE |
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| Year : 2014 | Volume
: 7
| Issue : 1 | Page : 69-72 |
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Use of dorsalis pedis artery flap in the coverage of distal lower leg defects
Sohaib Akhtar Md. , Fahud Khurram, Rampukar Choudhary, A. H. Khan, Imran Ahmad, Ehsan Rashidi
Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, Uttar Pradesh, India
Correspondence Address:
Sohaib Akhtar
Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0975-7341.134023
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Aim: To evaluate the role of dorsalis pedis artery flap in the coverage of distal lower leg defect. Materials and Methods: a retrospective review of patients who underwent soft tissue coverage over distal lower leg with dorsalis pedis artery flap was performed. A total of 16 patients were identified and included in this study. Soft tissue defects ranged in size from 3 × 7 cm to 6 × 10 cm were located over lower one-third of leg either, anteriorly (n = 8), posteriorly (n = 4), laterally (n = 2), or medially (n = 2). Associated injuries included open fractures of only tibia (n = 5), fibula (n = 2), both tibia and fibula (n = 3), or calcaneum (n = 2). Results: all flaps survived uneventfully except in three cases there was mild venous congestion in the distal part of the flap, two resolved within 4 days without further surgical intervention but one required skin grafting. Three patients developed donor site problems. Wound coverage was achieved in a mean duration of 14 days (range: 11 to 30 days). Conclusion: The dorsalis pedis artery flap is a reliable procedure to cover difficult wound such as distal lower leg. |
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