Bipedicle fasciocutaneous flaps for inframalleolar vascular graft coverage at the ankle/foot

Rajiv Sood, Ryan P. Flannagan, Stephen Lalka, Christopher D. Prevel, Barry L. Eppley, John J. Coleman

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

In 9 patients requiring inframalleolar bypass (11 extremities), intraoperative consult revealed exposed saphenous vein grafts at either the medial ankle or the dorsum of the foot in which primary wound closure resulted in the reduction or occlusion of blood flow. In these patients, longitudinally oriented bipedicle fasciocutaneous flaps were raised with widths of 3 to 4 cm and lengths ranging from 12 to 18 cm, with Doppler confirmation of discrete fascial perforators. Split-thickness skin grafts were placed in the wake of the flaps. Patient follow-up ranged from 2 to 78 months. All wounds healed, and 10 of 11 limbs were salvaged. Bipedicle flap coverage allows reconstruction of soft-tissue defects with the transposition of local tissues of similar qualities, avoiding the need for more complex distant tissue reconstruction. The inclusion of the deep fascia with the flap enhances its vascular perfusion, even in the ischemic lower extremity, with concurrent revascularization. The reliability of this type of flap is not dependent on traditional concepts of length-to-width ratios, but rather on standard principles of angiosome anatomy.

Original languageEnglish
Pages (from-to)511-516
Number of pages6
JournalAnnals of Plastic Surgery
Volume47
Issue number5
StatePublished - 2001

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Ankle
Blood Vessels
Foot
Transplants
Extremities
Fascia
Saphenous Vein
Wounds and Injuries
Lower Extremity
Anatomy
Perfusion
Skin

ASJC Scopus subject areas

  • Surgery

Cite this

Sood, R., Flannagan, R. P., Lalka, S., Prevel, C. D., Eppley, B. L., & Coleman, J. J. (2001). Bipedicle fasciocutaneous flaps for inframalleolar vascular graft coverage at the ankle/foot. Annals of Plastic Surgery, 47(5), 511-516.

Bipedicle fasciocutaneous flaps for inframalleolar vascular graft coverage at the ankle/foot. / Sood, Rajiv; Flannagan, Ryan P.; Lalka, Stephen; Prevel, Christopher D.; Eppley, Barry L.; Coleman, John J.

In: Annals of Plastic Surgery, Vol. 47, No. 5, 2001, p. 511-516.

Research output: Contribution to journalArticle

Sood, R, Flannagan, RP, Lalka, S, Prevel, CD, Eppley, BL & Coleman, JJ 2001, 'Bipedicle fasciocutaneous flaps for inframalleolar vascular graft coverage at the ankle/foot', Annals of Plastic Surgery, vol. 47, no. 5, pp. 511-516.
Sood R, Flannagan RP, Lalka S, Prevel CD, Eppley BL, Coleman JJ. Bipedicle fasciocutaneous flaps for inframalleolar vascular graft coverage at the ankle/foot. Annals of Plastic Surgery. 2001;47(5):511-516.
Sood, Rajiv ; Flannagan, Ryan P. ; Lalka, Stephen ; Prevel, Christopher D. ; Eppley, Barry L. ; Coleman, John J. / Bipedicle fasciocutaneous flaps for inframalleolar vascular graft coverage at the ankle/foot. In: Annals of Plastic Surgery. 2001 ; Vol. 47, No. 5. pp. 511-516.
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