Sural fasciocutaneous flap of distal base in open fracture of tibial type III B. Presentation of a patient

Authors

  • José Lam Sánchez Hospital Pediátrico "José Luis Miranda", Villa Clara
  • Juan A. Chacón Ramón Hospital Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Villa Clara
  • Víctor Valentín Pagola Bérger Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Villa Clara

Keywords:

surgical flaps, fractures, open

Abstract

In the open fracture type III B of the distal third of the leg, it can be performed the soft tissue coverage with fasciocutaneous flap of distal base. It is presented a patient in which the above procedure was performed in combination with an external fixator RALCA, with good result. A comparison was made with other reconstructive methods and the advantages presented by this type of flap were considered. It was recommended to extend its use in the Orthopedic Specialty in the province for the variety of injuries in which it is indicated.

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Author Biographies

José Lam Sánchez, Hospital Pediátrico "José Luis Miranda", Villa Clara

Especialista de I y II Grado en Ortopedia y Traumatología. Profesor Auxiliar de la Universidad de Ciencias Médicas de Villa Clara.

Juan A. Chacón Ramón, Hospital Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Villa Clara

Especialista de I Grado en Ortopedia y Traumatología. Profesor Asistente de la Universidad de Ciencias Médicas de Villa Clara.

Víctor Valentín Pagola Bérger, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Villa Clara

Especialista de II Grado en Cirugía General. Especialista de II Grado en Medicina Tradicional y Natural. Máster en Medicina Bioenergética y Natural. Doctor en Ciencias Médicas. Profesor Titular y Consultante de la Universidad de Ciencias Médicas de Villa Clara.

References

1. Wood II. General principles of fracture treatment. En: Canale ST, Beaty JM. Campbell’s Operative Orthopedics. España: Elsevier; 2013. p. 2567-73.

2. Ceballos A. Fijación externa y técnicas afines. 2da ed. La Habana: ECIMED; 2014. p. 96-107.

3. De C, Nandi SN, Pal AK, Banerjee D, Das SK, Raman R. Use of fasciocutaneous flap for open-type III B tibial fractures--clinical experience and analysis. J Indian Med Assoc [Internet]. 2012 May [citado 12 Abr 2017];110(5):319-20, 322. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23360025

4. Bibbo C. Reverse sural flap with bifocal Ilizarov technique for tibial osteomyelitis with bone and soft tissue defects. J Foot Ankle Surg. 2014 May-Jun;53(3):344-9. doi: 10.1053/j.jfas.2013.12.008. Epub 2014 Feb 16.

5. Bista N, Shrestha KM, Bhattachan CL. The reverse sural fasciocutaneous flap for the coverage of soft tissue defect of lower extremities (distal 1/3 leg and foot). Nepal Med Coll J [Internet]. 2013 [citado 12 Abr 2017];15(1):56-61. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24592796

6. Ignatiadis IA, Tsiampa VA, Galanakos SP, Georgakopoulos GD, Gerostathopoulos NE, Ionac M, et al. The reverse sural fasciocutaneous flap for the treatment of traumatic, infectious or diabetic foot and ankle wounds: a retrospective review of 16 patients. Diabet Foot Ankle [Internet]. 2011 [citado 12 Abr 2017]; 2:10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284289/

7. Park JS, Roh SG, Lee NH, Yang KM. Versatility of the distally-based sural artery fasciocutaneous flap on the lower leg and foot in patients with chronic disease. Arch Plast Surg [Internet]. 2013 [citado 12 Abr 2017];40(3):220-225. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665865/

8. Steffner RJ, Spiguel A, Ranieri J, Suk M, Yoo BJ. Case series of sural island flaps used for soft-tissue defects of the distal-third lower extremity. J Wound Care [Internet]. 2012 [citado 12 Abr 2017];21(10):469-75. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23103480

9. Schmidt K, Jakubietz M, Harenberg P, Holzapfel BM, Rudert M, Meffert R, et al. The distally based adipofascial sural artery flap for the reconstruction of distal lower extremity defects. Oper Orthop Traumatol [Internet]. 2013 [citado 12 Abr 2017];25(2):162-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23525492

10. Herlin C, Sinna R, Hamoui M, Canovas F, Captier G, Chaput B. Distal lower extremity coverage by distally based sural flaps: methods to increase their vascular reliability. Ann Chir Plast Esthet [Internet]. 2017 [citado 12 Abr 2017];62(1):45-54. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26700329

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Published

2017-07-04

How to Cite

1.
Lam Sánchez J, Chacón Ramón JA, Pagola Bérger VV. Sural fasciocutaneous flap of distal base in open fracture of tibial type III B. Presentation of a patient. Acta Méd Centro [Internet]. 2017 Jul. 4 [cited 2025 Jun. 28];11(3):57-61. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/858

Issue

Vol. 11 No. 3 (2017): July-September

Section

Case Reports

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