THE POSTEROLATERAL MALLEOLAR FLAP OF THE ANKLE - A DISTALLY BASED SURAL NEUROCUTANEOUS FLAP - REPORT OF 14 CASES

被引:60
作者
OBERLIN, C [1 ]
AZOULAY, B [1 ]
BHATIA, A [1 ]
机构
[1] INST ANAT,PARIS,FRANCE
关键词
D O I
10.1097/00006534-199508000-00021
中图分类号
R61 [外科手术学];
学科分类号
摘要
The posterolateral malleolar flap is a fasciocutaneous flap designed on the principles of distally based neurocutaneous flaps. It is based distally at the level of the lateral retromalleolar gutter. Elevation of the flap involves the proximal sectioning of the sural nerve, which contributes to its vascularization by reversed flow. This is a very reliable flap, even in patients with distal arterial insufficiency. For this reason, it has emerged, in our experience, as the method of choice in the treatment of heel necrosis. Fourteen cases are reported, of which six were elderly patients.
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页码:400 / 405
页数:6
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