Complex reconstruction of the upper and lower limbs by using reverse-flow flaps: a series of 32 cases

ABSTRACT

Introduction:

Reconstruction of the soft tissues after loss of substance in the distal third of the upper and lower limbs, in particular when associated with the exposure of noble structures (bone, tendon, nerves, or blood vessels), remains a challenge in plastic surgery. Fasciocutaneous reverse flow flaps are an efficient surgical option for covering small and medium lesions in this location.

Method:

A retrospective clinical study was performed on a series of 32 cases of complex trauma of the upper and lower limbs treated between January 2013 and December 2014.

Results:

A total of 24 reverse-flow flaps were performed in the lower limbs and eight in the upper limbs, resulting in efficient coverage of the defects.

Conclusion:

Reverseflow flaps are reliable and present rotation arcs that allow coverage of a variety of lesions in the distal third of the upper and lower limbs.

Keywords:
Surgical flaps; Reconstructive surgical procedures; Hand trauma; Lesion of the soft tissues; Leg trauma/surgery