Distally-based superficial sural flap: advantages of the adipofascial over the fasciocutaneous flap.
The distally-based superficial sural flap has proved to be an easy and reliable method of reconstruction in soft tissue cover of the distal third part of the leg. There are two ways to prepare this flap: as a fasciocutaneous flap, which includes the fascia with the subcutaneous tissue including the skin; or as an adipofascial flap, which is made up of both the fascia and the subcutaneous adipose tissue. In the latter case, the flap is covered with a partial thickness skin graft either immediately after or at a later stage. The aim of this study was to assess the advantages and disadvantages of the two flaps. The adipofascial flap seems to be better, as it is associated with less donor site morbidity, improved quality of reconstruction, and fewer complications.
Parodi
Pier Camillo
PC
Department of Plastic Reconstructive Surgery, University of Udine, Udine, Italy.
De Biasio
Fabrizio
F
Rampino Cordaro
Emanuele
E
Guarneri
Gianni Franco
GF
Panizzo
Nicola
N
Riberti
Carlo
C
D000328:Adult; D000368:Aged; D004954:Esthetics; D005205:Fascia / Q000637:transplantation; D005260:Female; D006801:Humans; D007866:Leg / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D050151:Subcutaneous Fat / Q000637:transplantation; D013524:Surgical Flaps