BIPEDICLED FLAPS FOR SOFT TISSUE COVERAGE OF LEG DEFECTS – A CASE SERIES

Main Article Content

Manoj Ananthappan
Sanjana Chiramel
Manish Babbu U.G.
Surya Rao Rao Venkata Mahipathy

Keywords

Bipedicled, Faciocutaneous, Leg defects, No Morbidity

Abstract

Soft tissue defects of the leg exposing tendon or bone are a challenge to the reconstructive surgeon. The bipedicled fasciocutaneous flap is a reliable flap for coverage these defects especially in elderly patients and those with vascular compromise. Bipedicled flaps are local flaps which have a random blood supply from two pedicles. They are easy to harvest in a short operative time with early recovery which are of great benefit to patients. Here, we present three cases of soft tissue defects of the leg resurfaced with bipedicled flaps.

Abstract 261 | pdf Downloads 136

References

1. Makhlouf MV, Obermeyer Z. Bipedicle flap for wounds following achilles tendon repair. Plast Reconstr Surg 2008;121:235e-6.
2. Von Langenbeck B. Bhttrdge Zur osteoplastik. Deutsche Klin 1859; 2: 471.
3. Tripier L. Lambeau musculo-cutane enforme de pont Applique a la restauration des paupieresa. Gaz Hop (Paris) 1889; 62: 1124.
4. Yanai A, Fukuda 0, Nagata S, Tanaka H. A new method utilizing the bipedicle flap for reconstruction of the external auditory canal in microtia. Plast Reconstr Surp 1985; 76: 4648.
5. Dias AD. A bipedicle flap in the correction of burn contractures. Br J Plast Surg 1983: 36: 56-9.
6. Yii NW, Elliot, D. Longitudinal Bipedicle Flaps in Dorsal Homodigital Reconstruction (British Association of Plastic Surgeons: Leicester) 1996.
7. Peter AB, Jonathan JK. Local random flaps for soft tissue coverage of the diabetic foot. In: Thomas Z, editor. Surgical Reconstruction of the Diabetic Foot and Ankle. 1 st ed. Philadelphia: Wolters Kluwer; 2009. p. 140-66.
8. Crawford, B. S. The repair of defects of the lower limb, using a local flap. Br J Plast Surg 1957; 10: 32-5.
9. Stenstrom, S. ‘Tumbler flaps’. A clinical study together with an experimental investigation of the circulation in plane and tubed flaps. Acta Chir Stand 1956; 213 (suppl): 42556.
10. Schwabegger A, Ninkovic M. Wechselberger G, Anderl H. The bipedicle flap on the lower leg, a valuable old method? Its indications and limitations in 12 cases. Stand J Plast Reconstr Surg 1996; 30: 187-93.
11. Hallock GG. Bipedicled fasciocutaneous flaps in the lower extremity. Ann Plast Surg 1992; 29: 397-401
12. Salibian AH, Menick FJ. Biuedicle eastrocnemius musculocutaneous flap for defects df the distal one-third of the leg. Plast Reconstr Surg 1982; 70: 17-23.
13. Hallock GG. Local fasciocutaneous flaps for cutaneous coverage of lower extremity wounds. J Trauma 1989; 29: 12404.