| An Iatrogenic Flap Necrosis Case: Factors to Consider for Successful Flap Elevation |
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Non Hyeon Ha, Ill Jae Lee |
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Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine, Suwon, Korea. i00325@live.co.kr |
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Received: 9 April 2018 • Revised: 5 May 2018 • Accepted: 14 May 2018 |
| Abstract |
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The free flap technique has been used for lower limb reconstruction. Still, the free flap itself and related surgical procedures are challenging process, because there's a lot of factors to consider for successful outcome. We report a case of total flap necrosis due to inadequate flap elevation on the left ankle of a young man. Although the shape of the elevated flap was not fit into rectangular shape exactly, the length to width ratio of the flap was almost 2.25:1. The circulation to the tissue was not enough to flap survival, due to inadequate incision. To prevent flap mismanagement, all the surgical procedure should be performed based on a thorough understanding of flap related knowledge, such as length-width ratio restriction of elevated flap, angiosome and proper surgical incision. Also we recommend swell-timed consultation with surgeons trained in microsurgery for guidance regarding flap evaluation and its subsequent management. |
| Key Words:
Free flaps, Microsurgery, Lower extremity, Angiosome |
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