COMPARISON BETWEEN PERONEUS BREVIS FLAP AND REVERSE SURAL ARTERY FLAP FOR COVERAGE OF DEFECTS AROUND THE HEEL.

Dr.Boopathi K; Dr.Govindharaj.V

Volume : VIII, Issue : I, January - 2018

COMPARISON BETWEEN PERONEUS BREVIS FLAP AND REVERSE SURAL ARTERY FLAP FOR COVERAGE OF DEFECTS AROUND THE HEEL.

Dr. Boopathi K, Dr. Govindharaj. V

Abstract :

BACK GROUND

Post traumatic soft tissue defects around the lower third of the leg, ankle and foot always have been challenging to reconstruct. Reverse sural flaps have been used for this problem with variable success. Free tissue transfer has revolutionised management of these problem wounds in selected cases.

METHODS

A nonrandomized prospective study of 12 patients admitted with soft tissue defects around the Heel hospitalized at Government Chengalpattu Medical College Hospital in the Dept. of Plastic surgery from Jan 2015 to Jan 2017 was done . Patients with posttraumatic moderate size defects around the Heel requiring flap cover for exposed bone, tendon & implant were included in the study .

RESULTS

Six patients underwent DPBF (distal peroneal evis flap) and six RSAF (reverse sural artery flap). Mean age of patients of DPBF’s was 35 years( range 16 –63).Nine were male patients ,three were female patients. Both groups had good results with varying factors influencing the outcome.

CONCLUSION

RSAF AND DPBF are reliable for moderate size defects around the heel .Both flaps gave a good functional outcome. DPBF is better for aesthetic , short duration of stay and small sized soft tissue defects compared to RSAF.