Analysis of the results of surgical treatment using the sural flap
Introduction: Complex fractures and extensive skin lesions are increasingly common due to high-energy traumas. An alternative for treating these lesions in the lower limbs is the use of the sural flap. Methods: This was a retrospective, analytical-descriptive study of exploratory documen...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2021-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2986/en_v36n3a10.pdf |
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| author | Pedro Simão Bosse Henrique Ayzemberg Tiago Salati Stangarlin Tamara Simão Bosse |
| author_facet | Pedro Simão Bosse Henrique Ayzemberg Tiago Salati Stangarlin Tamara Simão Bosse |
| author_sort | Pedro Simão Bosse |
| collection | DOAJ |
| description | Introduction: Complex fractures and extensive skin lesions are increasingly common due to high-energy traumas. An alternative for treating these lesions in the lower limbs is the use of the sural flap.
Methods: This was a retrospective, analytical-descriptive study of exploratory documental analysis of patients submitted to the sural flap in a trauma reference hospital in northern Santa Catarina, Brazil. Age, sex, laterality, cause, place, and size of the lesion, use of tunneling and skin grafting, complications and their risk factors, and the management of such complications were analyzed.
Results: The study sample consisted of 16 patients with a mean age of 44.4 years; 87.5% were male. The cause of the most prevalent lesion was trauma (75.0%), and the site of the lesion was more prevalent in the distal tibia (43.8%). In 50.0% of the cases, risk factors for complications were present, and patients with diabetes mellitus and smokers were five times more likely to present such complications. Partial necrosis had a prevalence of 25.0%, and in 18.8%, only debridement was performed, and 6.3% grafting was performed.
Conclusion: The sural flap is a good alternative for covering lower limbs lesions due to its good success rate, but it is not free of complications. Such complications are more prevalent in patients who have risk factors such as smoking and diabetes mellitus. |
| format | Article |
| id | doaj-art-5474e320d206448586d483d7edc8953e |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-5474e320d206448586d483d7edc8953e2025-08-20T03:33:18ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352021-09-01360329630210.5935/2177-1235.2021RBCP0095Analysis of the results of surgical treatment using the sural flapPedro Simão Bosse0Henrique Ayzemberg1Tiago Salati Stangarlin2Tamara Simão Bosse3Hospital Municipal São José, Joinville, SC, BrazilHospital Municipal São José, Joinville, SC, BrazilHospital Municipal São José, Joinville, SC, BrazilInstitute of Higher Education of Vale do Parnaíba, Parnaíba, PI, BrazilIntroduction: Complex fractures and extensive skin lesions are increasingly common due to high-energy traumas. An alternative for treating these lesions in the lower limbs is the use of the sural flap. Methods: This was a retrospective, analytical-descriptive study of exploratory documental analysis of patients submitted to the sural flap in a trauma reference hospital in northern Santa Catarina, Brazil. Age, sex, laterality, cause, place, and size of the lesion, use of tunneling and skin grafting, complications and their risk factors, and the management of such complications were analyzed. Results: The study sample consisted of 16 patients with a mean age of 44.4 years; 87.5% were male. The cause of the most prevalent lesion was trauma (75.0%), and the site of the lesion was more prevalent in the distal tibia (43.8%). In 50.0% of the cases, risk factors for complications were present, and patients with diabetes mellitus and smokers were five times more likely to present such complications. Partial necrosis had a prevalence of 25.0%, and in 18.8%, only debridement was performed, and 6.3% grafting was performed. Conclusion: The sural flap is a good alternative for covering lower limbs lesions due to its good success rate, but it is not free of complications. Such complications are more prevalent in patients who have risk factors such as smoking and diabetes mellitus.http://www.rbcp.org.br/export-pdf/2986/en_v36n3a10.pdfmyocutaneous flapsural nervenecrosissmokingdiabetes mellitus |
| spellingShingle | Pedro Simão Bosse Henrique Ayzemberg Tiago Salati Stangarlin Tamara Simão Bosse Analysis of the results of surgical treatment using the sural flap Revista Brasileira de Cirurgia Plástica myocutaneous flap sural nerve necrosis smoking diabetes mellitus |
| title | Analysis of the results of surgical treatment using the
sural flap |
| title_full | Analysis of the results of surgical treatment using the
sural flap |
| title_fullStr | Analysis of the results of surgical treatment using the
sural flap |
| title_full_unstemmed | Analysis of the results of surgical treatment using the
sural flap |
| title_short | Analysis of the results of surgical treatment using the
sural flap |
| title_sort | analysis of the results of surgical treatment using the sural flap |
| topic | myocutaneous flap sural nerve necrosis smoking diabetes mellitus |
| url | http://www.rbcp.org.br/export-pdf/2986/en_v36n3a10.pdf |
| work_keys_str_mv | AT pedrosimaobosse analysisoftheresultsofsurgicaltreatmentusingthesuralflap AT henriqueayzemberg analysisoftheresultsofsurgicaltreatmentusingthesuralflap AT tiagosalatistangarlin analysisoftheresultsofsurgicaltreatmentusingthesuralflap AT tamarasimaobosse analysisoftheresultsofsurgicaltreatmentusingthesuralflap |