Third-degree foot burn sequelae managed with reverse flow sural flap. A case report.

DOI 10.5281/zenodo.6416542

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Arjona Bojórquez R. I. et al. Third-degree foot burn sequelae managed with reverse flow sural flap. A case report.Am J Med Surg. 2022. 7(3);51–54.

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ABSTRACT: We admitted a 27-year-old male patient with non-recent third-degree burn sequelae due to contact in 4% of SCTQ, both lower limbs, with exposure of proximal Interphalangeal joint and lysis of the extensor complex in the 2nd to 4th toes of the right foot.
A series of debridement was performed from admission, as well as the application of dressings, harvesting and application of a thin partial-thickness skin graft, and remodeling of the optimal functional level in the 2nd to 4th toe of the right foot.
Once the surgical bed of the wound was adequate and with a negative culture for microorganisms, a delay of the right foot reverse sural flap was performed.
One week after surgery, a delayed reverse sural flap was performed, harvesting and application of a thin and intermediate partial-thickness graft, escharectomy, debridement, skin flap advancement with graft on the right leg.
On postoperative day 7, the flap was found to have adequate integration, good coloration, immediate capillary refill and no complications.
Follow-up was performed in 6 months and the patient was satisfied with the results without presenting complications.

 

KEY WORDS: Sural flap