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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(06): 736-741
DOI: 10.1055/s-0040-1712494
Artigo Original
Trauma

Reconstruction of the Lower Limb with Fasciocutaneous Flap of the Distal Pedicle - Modified Technique of Monteiro, Series of 15 Cases[*]

Article in several languages: português | English
Saulo Souto Montenegro 
1   Serviço de Cirurgia Plástica, Hospital Universitário Lauro Wanderley, Universidade Federal da Paraíba (UFPB), João Pessoa, PB, Brasil
,
Antônio Carlos Costa 
2   Departamento de Ortopedia e Traumatologia da Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Robert Meves 
2   Departamento de Ortopedia e Traumatologia da Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
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Abstract

Objective To describe and demonstrate the outcomes of the modified Monteiro (1991) technique for lower limb reconstruction with a fasciocutaneous flap of the distal pedicle in a series of 15 cases.

Method We present the technique and outcomes from a series of 15 cases of the modified technique using a fasciocutaneous flap of the distal pedicle to repair the lower third of the leg and the foot.

Results Outcomes were satisfactory since these flaps provided good cutaneous and subcutaneous tissue coverage in cases with bone exposure and skin loss. The donor area was closed 3 days after surgery with a partial skin graft to provide better graft viability.

Conclusion The fasciocutaneous flap of the distal pedicle proved to be a good option for reconstruction of the middle and lower thirds of the leg, offering good bone coverage.

Keywords

surgical flaps - reconstruction - lower limb - fascia

* Study performed at Hospital Universitário Lauro Wanderley (HULW-PB), Universidade Federal da Paraíba (UFPB), João Pessoa, PB, Brazil.




Publication History

Received: 15 August 2019

Accepted: 02 March 2020

Article published online:
29 May 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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