Colgajo sural medial en la reconstrucción de miembro inferior

Abstract

ranging in age from 27 to 86 years. The main etiology of the defects was traumatic injury. The defects located between the distal third of the thigh and the proximal third of the leg were cove red with pediculated flaps while the distal defects were covered with free flaps. Results. The mean flap dimensions were 6.35 cm width, 10.9 cm length, and 9.9 cm pedicle length. All flaps except 1 were raised with a single perfo - rator. Apart from 1 case of partial free-flap loss, there were no short-term com - plications. Two patients required skin grafting of the donor site while the remai ning were closed directly. The mean follow-up time was 22.8 months and there were no donor site complaints. A stable and aesthetically satisfactory coverage was obtained in all cases. Conclusions. The MSAP flap is a thin and pliable fasciocutaneous flap that can provide “like-with-like” tissue with minor donor site morbidity in lower limb reconstruction. Less positive characteristics include a potential laborious intramuscular dissection and occasional venous congestion. Still, the good re-sults and satisfaction of the patients make this a wise choice in selected cases.