Reconstructive Option Selection for Lower Third Leg Defects

Abstract

Background: patients with the lower 3rd leg defects are increasing in number especially among victims of road accidents .Due to anatomical features of this area nearly most cases required flap coverage. Aim of the work: the aim of this study was to help in selection of the appropriate option for coverage among available local perforator flaps and free microvascular flaps. Patients and methods: 30 patients with lower 3rd leg defect were included in this study and they were categorized into 2 groups. 15 patients underwent reconstruction by using local flaps (A) and 15 patients under went reconstruction using free micro-vascular flaps (B). Results: free flaps were more versatile than local flaps, but consumed more operative time and had higher morbidity Conclusion: small and moderately-sized lower 3rd leg soft tissue defects can be covered easily and safely by using locally available perforator flaps. Local flaps do not scarify any of the main arteries, consume less operative time, there was a specific like to like soft tissue replacement leading to a better cosmetic and reconstructive outcome. Free flaps have proven its versatility and reliability in coverage of significantly large and complex defects.