Double free-flap for a bimalleolar defect of lower leg and ankle
Double free-flaps are necessary when tissue cover cannot be sufficed with a single flap. The other factors to be considered when using two free flaps for resurfacing of distal limb defects are the availability of more than one recipient vessel, the risk of distal limb ischaemia and the donor site mo...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2016-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182250 |
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| author | Naren Shetty Narendra S. Mashalkar Sunder Raj Ellur Karishma Kagodu |
| author_facet | Naren Shetty Narendra S. Mashalkar Sunder Raj Ellur Karishma Kagodu |
| author_sort | Naren Shetty |
| collection | DOAJ |
| description | Double free-flaps are necessary when tissue cover cannot be sufficed with a single flap. The other factors to be considered when using two free flaps for resurfacing of distal limb defects are the availability of more than one recipient vessel, the risk of distal limb ischaemia and the donor site morbidity of double flap harvest. If these factors are adequately addressed, double free-flaps can be safely executed for resurfacing distal limb defects with minimal morbidity. We report the simultaneous harvest and transfer of the anterolateral and anteromedial thigh flaps inset and vascularised as double free-flaps to resurface a large bimalleolar defect in a 14-year-old boy with no additional morbidity as compared to that of a single free tissue transfer. |
| format | Article |
| id | doaj-art-66e9f2b648de41e9b53920ef1bce4dab |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-66e9f2b648de41e9b53920ef1bce4dab2025-08-20T01:57:05ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2016-01-014901959810.4103/0970-0358.182250Double free-flap for a bimalleolar defect of lower leg and ankleNaren Shetty0Narendra S. Mashalkar1Sunder Raj Ellur2Karishma Kagodu3Department of Plastic Surgery, St. John’s Medical College, Bengaluru, Karnataka, IndiaDepartment of Plastic Surgery, St. John’s Medical College, Bengaluru, Karnataka, IndiaDepartment of Plastic Surgery, St. John’s Medical College, Bengaluru, Karnataka, IndiaDepartment of Plastic Surgery, St. John’s Medical College, Bengaluru, Karnataka, IndiaDouble free-flaps are necessary when tissue cover cannot be sufficed with a single flap. The other factors to be considered when using two free flaps for resurfacing of distal limb defects are the availability of more than one recipient vessel, the risk of distal limb ischaemia and the donor site morbidity of double flap harvest. If these factors are adequately addressed, double free-flaps can be safely executed for resurfacing distal limb defects with minimal morbidity. We report the simultaneous harvest and transfer of the anterolateral and anteromedial thigh flaps inset and vascularised as double free-flaps to resurface a large bimalleolar defect in a 14-year-old boy with no additional morbidity as compared to that of a single free tissue transfer.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182250bimalleolar defectdouble free-flapdistal limb defects |
| spellingShingle | Naren Shetty Narendra S. Mashalkar Sunder Raj Ellur Karishma Kagodu Double free-flap for a bimalleolar defect of lower leg and ankle Indian Journal of Plastic Surgery bimalleolar defect double free-flap distal limb defects |
| title | Double free-flap for a bimalleolar defect of lower leg and ankle |
| title_full | Double free-flap for a bimalleolar defect of lower leg and ankle |
| title_fullStr | Double free-flap for a bimalleolar defect of lower leg and ankle |
| title_full_unstemmed | Double free-flap for a bimalleolar defect of lower leg and ankle |
| title_short | Double free-flap for a bimalleolar defect of lower leg and ankle |
| title_sort | double free flap for a bimalleolar defect of lower leg and ankle |
| topic | bimalleolar defect double free-flap distal limb defects |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182250 |
| work_keys_str_mv | AT narenshetty doublefreeflapforabimalleolardefectoflowerlegandankle AT narendrasmashalkar doublefreeflapforabimalleolardefectoflowerlegandankle AT sunderrajellur doublefreeflapforabimalleolardefectoflowerlegandankle AT karishmakagodu doublefreeflapforabimalleolardefectoflowerlegandankle |