The use of 'fasciocutaneous' and 'osteofasciocutaneous' parascapular flaps for lower limb reconstruction: a retrospective study of 20 patients.
BACKGROUND
The parascapular flap is a widely accepted and suitable option for covering defects in almost all anatomical areas. Here, we report our experience with the microvascular transfer of parascapular flaps for the coverage of large lower leg defects with reference to our retrospective study.


METHODS
Twenty patients with free parascapular flaps (17 male, three female, age: 43+/-17 years, BMI 26.1+/-3.5) were examined 3 months to 3 years after free tissue transfer. All procedures and examinations were performed by the same experienced surgeon (2002-2005). Flap dimensions ranged from 8 x 4 cm to 30 x 13 cm, with an average of 20.4+/-6.6 cm x 8.9+/-2.6 cm. The parameters studied included perioperative morbidity, donor site morbidity, flap vitality, complications, functional shoulder tests, patient satisfaction (visual analog scale, VAS), the duration of the hospital stay and the long-term outcome.


RESULTS
All of the 20 flaps remained vital. Adequate coverage and complete healing were obtained in all patients during the follow-up period and all patients were physically mobile. General patient satisfaction with the intervention was high (VAS: median 7.5; x(25)=6.0; x(75)=9.5); donor site morbidity was low, that is, only one patient presented with reduced range of motion and shoulder function compared to the preoperative status. The hospital stay after flap transfer was 20.8+/-9.8 days and the overall hospital stay was 32.1+/-15.0 days.


CONCLUSIONS
Our study confirms that the parascapular flap is a very versatile and safe flap for lower limb reconstruction with low donor morbidity.
Prantl
Lukas
L
Department of Plastic Surgery, University of Regensburg, Germany. lukas.prantl@klinik.uni-regensburg.de
Babilas
Philipp
P
Roll
Christina
C
Jung
Michael
M
Nerlich
Michael
M
Kinner
Bernd
B
Schreml
Stephan
S
Fuechtmeier
Bernd
B
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D000792:Angiography; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply / Q000293:injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D012189:Retrospective Studies; D017695:Soft Tissue Injuries / Q000503:physiopathology / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D016909:Tibial Arteries / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult