A Comparative Study between Distally Based Sural Artery Flap and Medial Plantar Artery Flap in Reconstruction of Ankle and Foot Defects | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 16, Issue 4, October 2023, Page 290-299 PDF (1.64 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2023.325724 | ||||
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| Authors | ||||
Ahmed Mohammed Hussen  ; Ahmed Gaber Abdel-Megeed; Karam Ahmed Allam; Mohammed Abdel-Aal Hasanyn
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| Plastic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt | ||||
| Abstract | ||||
| plantar (P) skin is thick and firmly attached to the underlying structures. Therefore, the objective of reconstructive surgery is to restore the foot skin’s capacity to respond to weight bearing and withstand shearing pressures. This study was undertaken to compare the clinical implementations of distally based sural artery flap (DSAF) against medial plantar artery flap (MPAF) as a reconstructive alternative for foot abnormalities in terms of size of the defect, operational technique, and results (success and complications). Methods: This prospective research was done on 20 cases presented with foot defects. Cases were allocated into two equal groups: Group 1 comprised 10 cases with MPAF, and Group 2 comprised 10 cases with reversed sural flap. Results: Size of the defect was significantly lower in MPAF compared to reversed sural flap group. Donor closure was significantly better in reversed sural flap group compared to MPAF. Donor morbidity represented in graft healed, delayed healing, wound healed was indifferent between both groups. Flap sensation was significantly better in MPAF compared to reversed sural flap group. Flap reach was significantly longer in reversed sural flap group compared to MPAF. Complications (dehiscence in one edge, ischemic flap and ischemic distal part) were indifferent between both groups Conclusions: In cases with foot defects, size of defect, and flap reach were significantly higher in MPAF compared to reversed sural flap. Flap sensation was significantly better in MPAF compared to reversed sural flap in contrast to donor closure. Additionally, reported complications, case satisfaction, and donor morbidity were indifferent between both groups. | ||||
| Keywords | ||||
| Distally based sural artery flap; medial plantar artery flap; rebuild of ankle and foot defects | ||||
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