Reconstruction of complex lesions of the lower limbs with reverse fasciocutaneous flaps

ABSTRACT

Introduction:

Complex lesions on the lower limbs have always been challenging because of their difficult resolution. Microsurgical free flaps have been an excellent surgical option; however, they have limited use because there are an insufficient number of clinicians trained in such structured services. Fasciocutaneous flaps, specifically reverse flow, have been shown to be an excellent option in treating lower limb injuries as an alternative to complex microsurgical free flaps.

Methods:

From January 2012 to June 2015, nine patients underwent reconstruction of the lower limbs with reverse fasciocutaneous flaps. All had extensive lesions on these limbs.

Results:

In eight patients, the results were satisfactory, and there were no major complications. In one patient, there was total necrosis of the flap.

Conclusion:

Because of the relative technical simplicity of performing such a technique, fasciocutaneous flaps are a viable option for the reconstruction of complex wounds of the lower limbs and are an additional therapeutic option for patients with these lesions.

Keywords:
Surgical Procedures; Reconstructive surgical flaps; Lower extremity; Microsurgery