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Delayed Supramalleolar Flap: An Innovative Technique For Enhanced Viability, Syed Kamran Ahmed, Pervaiz Mehmood Hashmi
Delayed Supramalleolar Flap: An Innovative Technique For Enhanced Viability, Syed Kamran Ahmed, Pervaiz Mehmood Hashmi
Section of Orthopaedic Surgery
Background: Delaying flap rotation for 48 to 72 hours leads to opening of choke anastomotic vessels linking adjacent vascular territories. This mechanism enhances flap circulation. Lateral supramalleolar flap with larger dimensions or vascular variations can potentially have survival problems. The purpose of this study is to assess the outcome of delayed lateral supramalleolar flap.
Methods: This descriptive case series was conducted at Aga Khan University Hospital, Karachi from May 1999 to December 2004. Eight cases of delayed lateral supramalleolar flap were identified through medical records maintained through Health Information Management Systems (HIMS). A detailed questionnaire was developed addressing variables of …