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  3. 12. Outcome of Adipofascial Flap in Patients Having Soft Tissue Defects of Lower Third of Leg, Ankle and Hind Foot
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12. Outcome of Adipofascial Flap in Patients Having Soft Tissue Defects of Lower Third of Leg, Ankle and Hind Foot

Muhammad Bilal Saeed, Ijaz Hussain Shah, Naheed Ahmed

ABSTRACT

Objective: To determine the outcome of Adipofascial flap in patients having soft tissue defects of lower third of leg, ankle and hind foot.

Study Design: Descriptive case series

Place and Duration of the Study: The Study was conducted at the Pak Italian Modern Burn CenterNishtar Medical University and Hospital Multan from January 2017 to December 2017.

Materials and Methods: 75 patients requiring soft tissue reconstruction of the lower leg, ankle, and hind foot. Twenty-one patients (70%) were having their defects in ankle area. The next most common site was lower third of leg. Five patients (16.7%) were having their defects located in this area. One patient (3.3%) was having defect on the hind foot.

Results: A total number of 75 patients were included in this study. There were 13 (43.3%) male and 17 (56.7%) female patients. The age of the patients ranged from 10-40 years, with the mean age of 29.7 years and a standard deviation of 16.2.heel was found to be the most common site requiring reconstruction. Twenty-one patients (70%) were having their defects in this area. The next most common site was lower third of leg. Five patients (16.7%) were having their defects located in this area. One patient (3.3%) was having defect on the hind foot. The dimensions of flap required were found to be different depending upon the size of the defect. The flap length ranged from 10 to 25 cm with a mean of 18.6 ± 3.9 cm. The flap width ranged from 6 to 12 cm with a mean of 9.8 ± 1.5 cm. In 28 (93.3%) patients, flap survival was noted to be 100 percent. In only 2 (6.7%) patients, it was found to be 90 percent, as the distal 10% of the flap underwent necrosis.

Conclusion: The adipofscial flap is a reliable, thin and pliant flap .It is simple to learn, quick to perform and can provide an excellent aesthetic and functional restoration in the lower third leg ,ankle and foot region with good donor site appearance.

Key Words: Adipofacial, flap, hind foot

Citation of articles: Saeed MB, Shah IH, Ahmed N. Outcome of Adipofascial Flap in Patients Having Soft Tissue Defects of Lower Third of Leg, Ankle and Hind Foot. Med Forum 2018;29(5):46-49.