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Both sural, perforator flaps found to be effective soft tissue coverage for distal medial leg wounds
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Results of this retrospective comparative study demonstrated both sural fasciocutaneous flaps and rotational fasciocutaneous perforator flaps are efficacious options for coverage of distal medial leg wounds.
Using Current Procedural Terminology codes, researchers identified and retrospectively reviewed the records of 14 patients treated for distal medial leg wounds during a 40-month period with either sural (seven patients) or perforator flap coverage (seven patients). Patients who underwent sural flap coverage had an average age of 57 years, and patients who underwent perforator flap coverage had an average age of 50 years. Investigators evaluated patients’ fracture healing, flap size, need for further intervention and return to normal shoe wear.
Results showed all patients who underwent sural flap coverage healed with no complications compared with six patients in the perforator flap group. In the perforator flap group, one patient developed tip necrosis and healed after local wound care. At the last follow-up, all patients were able to return to normal shoe wear, according to researchers.‒ by Monica Jaramillo
Disclosures: The researchers report no relevant financial disclosures.
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