Abstract

MAZARRASA-MARAZUELA, B.; DELGADO-GIRALDO, P.A.  and  BENITO-DUQUE, P.. Splitting a fasciocutaneous internal saphenous flap. Cir. plást. iberolatinoam. [online]. 2014, vol.40, n.2, pp.179-184. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922014000200007.

Covering defects of soft tissue on the distal half of legs and feet with bone and tendon exposure represents a challenge to the plastic surgeon because the options for reconstruction of this part of the body are limited. Nowadays, this kind of defects are most frequently treated with free flaps, although the fasciocutaneous flaps are still a good choice with less complexity and they are available in most of the plastic surgery centers, unlike the microsurgical techniques. The internal saphenous flap is one of the available local options; its easy execution, the minimal morbidity of the donor area and the splitting of the tissues involved (fascia, skin and subcutaneous tissue) facilitate the coverage of secondary defects, without the needing of new flaps in the future, with all the implications it represents. We present a clinical case of a fasciocutaneous internal saphenous flap, splitted in a way unreported previously, to cover a secondary defect on the distal third of the leg after an open fracture that required osteosynthesis, whose results were satisfactory and without complications after a follow up of 18 months.

Keywords : Fasciocutaneos flap; Splitting; Lower limb reconstruction; Leg reconstruction.

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