Reconstruction of diabetic foot ulcers by lateral supramalleolar flap

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dc.contributor.authorYercan H.S.
dc.contributor.authorOzalp T.
dc.contributor.authorOkcu G.
dc.date.accessioned2024-07-22T08:22:30Z
dc.date.available2024-07-22T08:22:30Z
dc.date.issued2007
dc.description.abstractObjectives: To report a series of 8 diabetic patients in whom the reconstruction of large-sized defect of the foot was performed using lateral supramalleolar flap. Methods: Coverage of the soft tissue defect was carried out by a lateral supramalleolar flap in 8 patients who had large-sized, non-healing ulcers at the Celal Bayar University, Department of Orthopedics and Traumatology, Manisa, Turkey, between 1998-2003. The mean age was 54 years. Preoperatively Doppler flowmeter evaluation was performed, and the ischemic index was calculated in all patients. Results: The flaps survived except for one patient who had a large defect on the heel with low ischemic index. The average healing time of the ulcer region and recovery of regular walking status was 34 days. The average healing period of the donor site was 35 days. After the average follow-up period of 40 months, neither infection nor a recurrence of the ulcer was encountered. The major problem of the donor area was skin graft breakdown and its non-aesthetic appearance due to hypertrophic granulation tissue. Conclusions: The lateral supramalleolar flap is a reliable option for the reconstruction of large-sized diabetic ulcers involving the dorsal aspect of the foot. This can also be used in conjunction with local muscle flaps, such as abductor hallucis for covering deep and large heel defects when the sural neurocutaneous flap is contraindicated.
dc.identifier.issn16583175
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19100
dc.language.isoEnglish
dc.subjectAdult
dc.subjectAged
dc.subjectDiabetic Foot
dc.subjectFemale
dc.subjectFoot Ulcer
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectSurgical Flaps
dc.subjectTreatment Outcome
dc.subjectadult
dc.subjectage distribution
dc.subjectaged
dc.subjectarticle
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectdiabetic foot
dc.subjectdiabetic patient
dc.subjectdonor site
dc.subjectDoppler flowmetry
dc.subjectfasciocutaneous flap
dc.subjectfollow up
dc.subjectgraft survival
dc.subjectgranulation tissue
dc.subjectheel
dc.subjecthuman
dc.subjecthuman tissue
dc.subjectischemia
dc.subjectmuscle flap
dc.subjectpreoperative evaluation
dc.subjectskin graft
dc.subjectsoft tissue defect
dc.subjectTurkey (republic)
dc.subjectulcer healing
dc.subjectwalking
dc.subjectdiabetic foot
dc.subjectfemale
dc.subjectfoot ulcer
dc.subjectmale
dc.subjectmiddle aged
dc.subjectplastic surgery
dc.subjecttreatment outcome
dc.titleReconstruction of diabetic foot ulcers by lateral supramalleolar flap
dc.typeArticle

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