OUTCOMES OF SURGICAL TREATMENT FOR ANKLE AND FOOT DEFECTS USING THE LATERAL SUPRAMALLEOLAR FLAP AT THAI NGUYEN NATIONAL HOSPITAL

Thanh Thiên Phạm, Quang Nhật Lô, Hồng Ái Vũ, Văn Trường Nguyễn, Văn Dung Hoàng, Văn công Tạ, Việt Nam Nguyễn

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Abstract

Objective: To evaluate the outcomes of surgical treatment for soft tissue defects of the ankle and foot using the lateral supramalleolar flap. Subjects and Methods: A total of 39 patients underwent surgical treatment using the lateral supramalleolar flap from January 2018 to June 2024 at the Thai Nguyen Central Hospital. Results:  Short-term outcomes: Excellence: 35/39 patients (89.7%), Good: 03/39 patients (7.7%), Bad: 01/39 patient (2.6%). Long-term outcomes: All patients had well-healed scars, and the flap remained soft and flexible. One patient required additional skin grafting after more than 50% of the flap necrosed, but this did not significantly affect the long-term outcome. The skin in the lower leg and ankle region matched well in terms of color and thickness with the recipient site. Conclusion: The lateral supramalleolar flap is an effective reconstructive material for covering defects in the ankle and foot, ensuring both functional and aesthetic outcomes.

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References

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