Effect of medial hemisoleus muscle flap on wound healing in the medial and distal thirds of the lower leg
Introduction: The use of many flaps has been described to repair substance loss in the medial and distal thirds of the lower leg. The main advantage of the muscle medial hemisoleus flap is preserving one half of the innervated medial soleus muscle in situ and keeping the foot's plantar flexion...
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| Language: | English |
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Thieme Revinter Publicações Ltda.
2018-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2215/en_v33n4a10.pdf |
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| author | Emiliano José Canton Marcelo Lima Pupo Nogueira Lucas Augusto Canton Ferreira Denílson Marcos Cúrcio |
| author_facet | Emiliano José Canton Marcelo Lima Pupo Nogueira Lucas Augusto Canton Ferreira Denílson Marcos Cúrcio |
| author_sort | Emiliano José Canton |
| collection | DOAJ |
| description | Introduction: The use of many flaps has been described to repair substance loss in the medial and distal thirds of the lower leg. The main advantage of the muscle medial hemisoleus flap is preserving one half of the innervated medial soleus muscle in situ and keeping the foot's plantar flexion power. Moreover, the flap has a longer arc of rotation. As recently described, new vascular concepts and techniques have increased flap viability. This study aimed to examine the use and advantages of the medial hemisoleus flap with emphasis on an indication and complication analysis.
Methods: Over a 10-year period, nine medial hemisoleus flaps were executed to repair traumatic wounds with tibial exposure in eight patients. We describe the indications and surgical techniques in detail.
Results: Complete wound healing was achieved in all patients. There was a low donor-site complications rate. One patient suffered from partial necrosis of the extremity flap. The mean operative time was 2 h.
Conclusions: The medial hemisoleus flap is useful for repairing substance loss and provides coverage with intermediary thickened tissue, high vascularity, minimal donor-site morbidity, foot plantar flexion power preservation, faster rehabilitation, accessible surgical techniques, and a shorter operative time. |
| format | Article |
| id | doaj-art-7d7cbc80d5b74bd8915ecaf35f3bf4dd |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2018-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-7d7cbc80d5b74bd8915ecaf35f3bf4dd2025-08-20T02:51:55ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352018-12-01330450151010.5935/2177-1235.2018RBCP0171Effect of medial hemisoleus muscle flap on wound healing in the medial and distal thirds of the lower legEmiliano José Canton0Marcelo Lima Pupo Nogueira1Lucas Augusto Canton Ferreira2Denílson Marcos Cúrcio3Hospital Ibiapaba Cebams, Barbacena, MG, BrazilHospital Ibiapaba Cebams, Barbacena, MG, BrazilHospital Ibiapaba Cebams, Barbacena, MG, BrazilHospital Ibiapaba Cebams, Barbacena, MG, BrazilIntroduction: The use of many flaps has been described to repair substance loss in the medial and distal thirds of the lower leg. The main advantage of the muscle medial hemisoleus flap is preserving one half of the innervated medial soleus muscle in situ and keeping the foot's plantar flexion power. Moreover, the flap has a longer arc of rotation. As recently described, new vascular concepts and techniques have increased flap viability. This study aimed to examine the use and advantages of the medial hemisoleus flap with emphasis on an indication and complication analysis. Methods: Over a 10-year period, nine medial hemisoleus flaps were executed to repair traumatic wounds with tibial exposure in eight patients. We describe the indications and surgical techniques in detail. Results: Complete wound healing was achieved in all patients. There was a low donor-site complications rate. One patient suffered from partial necrosis of the extremity flap. The mean operative time was 2 h. Conclusions: The medial hemisoleus flap is useful for repairing substance loss and provides coverage with intermediary thickened tissue, high vascularity, minimal donor-site morbidity, foot plantar flexion power preservation, faster rehabilitation, accessible surgical techniques, and a shorter operative time.http://www.rbcp.org.br/export-pdf/2215/en_v33n4a10.pdfreconstructive surgical procedureslower extremitymuscle, skeletalsurgical flaps |
| spellingShingle | Emiliano José Canton Marcelo Lima Pupo Nogueira Lucas Augusto Canton Ferreira Denílson Marcos Cúrcio Effect of medial hemisoleus muscle flap on wound healing in the medial and distal thirds of the lower leg Revista Brasileira de Cirurgia Plástica reconstructive surgical procedures lower extremity muscle, skeletal surgical flaps |
| title | Effect of medial hemisoleus muscle flap on
wound healing in the medial and distal thirds
of the lower leg |
| title_full | Effect of medial hemisoleus muscle flap on
wound healing in the medial and distal thirds
of the lower leg |
| title_fullStr | Effect of medial hemisoleus muscle flap on
wound healing in the medial and distal thirds
of the lower leg |
| title_full_unstemmed | Effect of medial hemisoleus muscle flap on
wound healing in the medial and distal thirds
of the lower leg |
| title_short | Effect of medial hemisoleus muscle flap on
wound healing in the medial and distal thirds
of the lower leg |
| title_sort | effect of medial hemisoleus muscle flap on wound healing in the medial and distal thirds of the lower leg |
| topic | reconstructive surgical procedures lower extremity muscle, skeletal surgical flaps |
| url | http://www.rbcp.org.br/export-pdf/2215/en_v33n4a10.pdf |
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