Reconstruction of the Soft Tissue Defect of the Lower Leg with Saphenous Neurocutaneous Island Flap

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Journal of the Korean Society for Surgery of the Hand 2006;15(2):77-84.
Published online October 31, 2006.

Joong-Bae Seo, M.D., Hee-Gon Park, M.D., Jong-Pil Kim, M.D., Hyun-Yul Yoo, M.D.

도서형 복재 신경피부 피판술을 이용한 하지 연부 조직 결손의 재건

서중배, 박희곤, 김종필, 유현열

Abstract

Purpose: We present clinical usefulness of saphenous neurocutaneous island flap for reconstruction of soft tissue defect of the lower leg, especially anteromedial aspect, including foot and ankle.
Materials and Methods: Thirteen cases of soft tissue defects in the lower leg including foot and ankle which were 6 cases of pretibial area, 2 cases of anteromedial aspect of distal two third, 2 cases of ankle, and 3 cases of foot were treated saphenous neurocutaneous island flap. They were proximally based flap 3 cases and distally based flap 10 cases. Clinically the flaps ranged in size from 4×5 cm to 6×12 cm.
Results: All of the flaps except 1 case survived completely. Three cases, however, had marginal necrosis. One case of flap failure was proximal tibia fracture accompanied with injury of the flap pedicle which was difficult in flap elevation, subsequently.
Conclusion: The saphenous neurocutaneous island flap is a simple, reliable procedure with a versatility for soft tissue coverage of the lower leg, especially anteomedial aspect, including foot and ankle. In case of another injuries accompanied near the saphenous nerve, careful attention should be made.

Key Words: Lower leg, Saphenous nerve, Soft tissue defect, Neurocutaneous island flap

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