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№1' 2013

SURGERY

International Medical Journal, Vol. 19., Iss. 1, 2013, P. 92−96.

Fasceocutaneous shin flaps with double axial blood supply for shin and foot repair

Kharkiv City Clinical Emergency Hospital, Kharkiv, Ukraine

Abstract. Decreasing rate of complication after restoration of shin and foot by way of application of fasciocutaneus flaps is of current interest. The article covers the improvement of shin and foot reconstruction results by way of application of the fasciocutaneus flaps on the shin surface with double axial vascular supply. Anatomical foundations, surgical techniques for the flap separation, measures to increase viability of flaps as well as first experience of plastic surgery by way of application of the distally based fasciocutaneus flaps on the shin surface with double axial vascular supply: medial (r. saphenus a. descendens genicularis and rr. perforantes a. tibialis posterior), posterior−medial (a. superficialis sure medialis and rr. perforantes a. tibialis posterior), posterior−lateral (a. superficialis sure medialis and rr. perforantes arteria peronea (fibularis)), anterior−lateral (rr. perforantes arteria peronea (fibularis) and rr. perforantes arteria a. tibialis anterior) are reported. These flaps were successfully used in 23 different cases of treatment of intricate wounds in the shin and foot region. One flap underwent partial, boundary necrosis (4.3%).

Key words: fasceocutaneous flaps, wounds, foot, shin, revascularization, plastic surgery.