Ahlam El Youssoufi1, Komla Séna Amouzou2*, Elodie Joyce Lucrece Malonga-Loukoula1 and Mounia Diouri1
1Hassan II University, Ibn Rochd Teaching Hospital, Morocco 2Department of Surgery, Sylvanus Olympio Teaching Hospital, TogoFulltext PDF
Defects located on the lower leg and the foot represents a challenging task for the reconstructive surgeon, especially in high voltage electric burned patients. We admitted a 29-year-old male patient for forefeet defects following high voltage electric burns in our national burn and plastic surgery center. There was an exposition of metatarsal bones on both forefeet. We performed the distally-based superficial artery fasciocutaneous sural flap in a one-stage surgery separately for each side; the fascio subcutaneous pedicles were 5 cm wide buried under skin tunnels. We noticed suture dehiscence on the right foot and tip necrosis on the left foot. The bones were still covered. We used a V-Y advancement flap and split-thickness skin graft to complete the reconstruction. The wounds healed without any infectious complication. The ambulation was normal. The patient was satisfied with the flaps and did not complain about the donor sites.
Electric burn; Foot; Sural flap; Distally-based flap; Fasciocutaneous flap
El Youssoufi A, Amouzou KS, Lucrece Malonga-Loukoula EJ, Diouri M. One Stage Distally based Superficial Sural Artery Fasciocutaneous Flap in the Coverage of Forefeet Defects in a High Voltage Electric Burned Patient: A Case Report. Ann Plast Reconstr Surg. 2020; 4(3): 1061.