Exposed TA and calcaneum and gracillis flap

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wound with bone and tendon exposed


lateral aspect of wound

gracillis muscle 

graciillis muscle with pedicle

flap being insetted
A very bad crush injury of  ankle occurred while patient was going on motorbike. Heel bone {calcaneaum} was badly crushed, orthopedic surgeon put wires into calcanaeum and  tried to fix it. A big wound remained with exposed Tendo Achillies which needed cover . It was infected and dirty wound so VAC therapy was put on the wound to reduce infection and it was planned to cover it with a flap once it improves.

Debate of muscle versus skin flaps will be always be there in plastic surgery . Muscle flaps have inherent advantages in these conditions . So decision was taken to do gracillis flap which was connected to posterior tibial vessels. Artery was connected end to side and a single vein was done.

Post op was eventful, flap was monitored for vascularity for five days and then patient being discharged.
Patient was skin grafted at three weeks from surgery.





Dr Adhishwar Sharma
MBBS,MS General Surgery PGIMER
Mch Plastic Surgery
Fellowship in Hand and Microvascular Surgery
8860650846
brahmanandclinic.com




Location: Gurugram, Haryana, India

Comments

  1. Taneja Hospital8 January 2019 at 16:59

    I really love it and amazing information in this blog. it's really good and great information well done. Hearing surgeon in Kalkaji.

    ReplyDelete

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