Ayad, W., ElGamal, M., Farahat, A., El Batawy, A. (2019). Microsurgical Reconstruction of Traumatic Lower Extremity Defects in Pediatric Patients: Is Fasciocutanous Flap A Versatile Tool to Replace Musculocutaneous Flap?. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 129-132. doi: 10.21608/ejprs.2019.65171
Wael Ayad; Mohammad ElGamal; Ayman Farahat; Amr El Batawy. "Microsurgical Reconstruction of Traumatic Lower Extremity Defects in Pediatric Patients: Is Fasciocutanous Flap A Versatile Tool to Replace Musculocutaneous Flap?". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 129-132. doi: 10.21608/ejprs.2019.65171
Ayad, W., ElGamal, M., Farahat, A., El Batawy, A. (2019). 'Microsurgical Reconstruction of Traumatic Lower Extremity Defects in Pediatric Patients: Is Fasciocutanous Flap A Versatile Tool to Replace Musculocutaneous Flap?', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 129-132. doi: 10.21608/ejprs.2019.65171
Ayad, W., ElGamal, M., Farahat, A., El Batawy, A. Microsurgical Reconstruction of Traumatic Lower Extremity Defects in Pediatric Patients: Is Fasciocutanous Flap A Versatile Tool to Replace Musculocutaneous Flap?. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 129-132. doi: 10.21608/ejprs.2019.65171
Microsurgical Reconstruction of Traumatic Lower Extremity Defects in Pediatric Patients: Is Fasciocutanous Flap A Versatile Tool to Replace Musculocutaneous Flap?
The Department of Plastic, Reconstructive and Burn Surgery, Faculty of Medicine, Al-Azhar University
Abstract
The purpose of this report is to evaluate the outcome of microsurgical reconstruction of traumatic lower extremity defects in children and compare fasiocutenous flaps with muscle and musculocutaneous flaps. At Al-Azhar University Hospitals (Al-Hussien and Sayed Galal Hospitals) in the last two years. 50 free tissue transfers had been performed in 50 children. Patients ranged in age from 3 to 16 years old, The defect location included the dorsum of foot in 24 cases, medial aspect of foot in 4 cases, lateral aspect of foot in one case, forefoot in 2 cases, heel in 5 cases, ankle in one case, upper third of leg in 3 cases, middle third of leg in 6 cases, lower third of leg in 4 cases and the knee in 2 cases. Flaps used in this study were myocutenous and muscle flaps (L.D and R.F) in 38 cases, fasciocutenous flaps (A.L.T) in 7 cases, and chiemeric flap (L.D+S.A) in 5 cases. Hospital stay was ranged from 5 days to 14 days with an average of 8.8 days. The recipient's vessels were anterior tibial vessels in 38 cases, posterior tibial vessels in 7 cases, femoral vessels in 2 cases, dorsalis pedis vessels in 2 cases, and popliteal vessels in one case. The postoperative complications were seen in 13 patients in the form of venous congestion in three cases, superficial infection in five patients, delayed wound healing in three patients, partial necrosis in one case, graft loss in one case, with total flap loss in three cases. One could conclude from our report that a free fasciocutaneous flap is an excellent option for lower extremity reconstruction. Our data indicate that it can be successfully used in all clinical settings, without outcomes equivalent to the more traditional muscle flap.
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