Muhammad Zarar Niazi, Mohammad Aslam, Irfanullah.
Fasciocutaneous Flaps in reconstruction of lower extremity: our experience.
Pak J Surg Jan ;33(1):46-52.

Objective: To assess the role of Fasciocutaneous flaps in coverage of exposed tibia, in terms of final outcome of procedure. Methodology: Th is two years ( January 2014 to December 2015) prospective and descriptive study was carried out at Plastic surgery and Burn Unit Lady Reading Hospital, Peshawar. 30 patients with exposed bone in the region of proximal two thirds of tibia were included in the study and treated with ipsilateral fasciocutaneous flaps. Post-operative assessment was done for 6 months using proforma and photographs. Results were analyzed with SPSS 23. Final outcome was assessed as Good (Full bone coverage), Useful (Bone coverage, but with complications) and Useless (Unable to achieve bone coverage). Results: During two years study period, 30 patients with soft tissue defect in the region of proximal two thirds of tibia were included in study. To provide soft tissue coverage for exposed tibia, 32 ipsilateral fasciocutaneous flaps were performed. Patients were followed up to 6 months post operatively. Two patients (6.6%) had total failure of the procedure while 4 (13.3%) had complications. Conclusion: Ipsilateral fasciocutaneous flap is a good option to provide soft tissue coverage to the exposed tibia in terms of its ease and lesser complications. In the centers where facilities and expertise for micro-vascular free tissue transfer is not available, this flap is a workhorse in lower limb reconstruction.

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