IJSR - International Journal of Scientific Research

Dr Kinkar Munian; Prof Dr Utpal Kumar Bit; Dr Amitesh Kumar Jha; Dr Warke Ameya Vasudeo; Dr Gouranga Dutta

Volume : VIII, Issue : VIII, August - 2019

Lateral Supramalleolar flap is a reliable option for coverage of defects over lower 3rd of leg, dorsum of foot and ankle

Dr Kinkar Munian, Prof Dr Utpal Kumar Bit, Dr Amitesh Kumar Jha, Dr Warke Ameya Vasudeo, Dr Gouranga Dutta

Abstract :

Background: The Lateral Supramalleolar flap is based on a perforating anch of the peroneal artery (emerging from about 5 cm above the tip of lateral malleolus on the antero–lateral aspect of lower leg) which pierces the interosseous memane just proximal to the anterior tibiofibular ligament . Methods: We harvest the Lateral Supramalleolar flap as a fasciocutaneous, peninsular flap with minimal perforator dissection. We have done 32 cases in last 5 years with excellent result with our technique. Results: In our experience over the last 5 years we did not get a single case of total flap necrosis. In only one case we found about 2 cm necrosis of distal most margins. Conclusion: The Lateral Supramalleolar flap is useful for coverage of exposed lower 3rd of tibia, defects around ankle, exposed tendo achilles and dorsum of foot