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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

MANGELSDORFF G, Günther et al. Flaps in reconstruction of the lateral calcaneal region: case series and treatment algorithm for soft-tissue complications of the lateral approach for calcaneal fractures. Rev Chil Cir [online]. 2015, vol.67, n.4, pp.378-385. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262015000400006.

Introduction: Calcaneal fractures are the most frequent tarsal bone fracture. A high complication rate has been reported for the L-shaped lateral calcaneus surgical approach. Coverage of the resulting defect can be challenging. The aim of this article is to report a case series and propose a new treatment algorithm. Materials and Methods: Between January 2011 and December 2013 ninety-five patients underwent a close calcaneus fracture surgery by lateral approach. Ten patients suffered from surgical wound complications. Defects were classified as small (< 2 cm), medium (2-5 cm) or big size (> 5 cm). Results: Small size defects were covered with local fasciocutaneous advancement and rotation flaps. Medium size defect were covered either with a distally based sural neurocutaneous flap or propeller flap based on peroneal artery perforators. A free flap was used in the big size defect presented. Mean follow-up was 16 month (range 5-41 month). Stable coverage was achieved in all cases and no revision surgery was needed. Conclusions: Soft-tissue complications associated to lateral approach for calcaneal fractures needs an ordered approach. The algorithm presented including propeller perforator flaps proved to be safe and useful.

Palabras clave : Lower limb reconstruction; propeller flap; perforator flap.

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