An interventional study of medial plantar artery flap and Distally based sural artery flap in Foot Injury, sponsored by Sohag University. Status unknown at 1 site in Egypt. Open to participants aged 5 Years to 70 Years. Per ClinicalTrials.gov, last updated 2021-07-19.
Sponsored by Sohag University · Not applicable, Interventional, and Treatment
Reconstruction of soft tissue defects around the foot and ankle region is a challenging problem for reconstructive surgeons due to the lack of locally available tissues for transposition, the relatively poor skin circulation, and the special structural characteristics of this area, bones and tendons can easily become exposed due to trauma. so foot injuries are often associated with a loss of soft tissues and exposed bones . The plantar skin is thick, with solid anchorage to the deep structures. Therefore, the reconstructive aim is to restore the stability of the foot skin to adapt to weightbearing and to resist shearing forces. In addition, good sensibility should be considered in the reconstruction. Additional considerations the ankle region has great tension during movement, and good stability is required for shoes wearing. The medial plantar flap has been effectively used in the reconstruction of soft tissue defects localized to the plantar foot, forefoot, posterior heel, and ankle in small to medium sized defects . This flap can be transferred to the defect as a proximally or distally pedicled island flap . The distally based sural artery flap frequently used for reconstruction of soft tissue defects of the lower leg, foot and ankle in medium and large sized defects .Fascio-cutaneous flaps are highly effective and easy to perform.
This study is a comparative study designed for assessment of the clinical applications of distally based sural flap versus medial plantar artery flap regarding the size of the defect , operative technique and their outcomes (success and complications) as a reconstructive option for foot and ankle defects.
51 studies on the registry are indexed under Foot Injuries; 10 are open to participants now.
This study's planned enrollment of 20 is below the median of 52 across 38 interventional studies indexed under Foot Injuries.
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Patients aging 5 to 70 years. Defect at the foot and ankle. Defect size (5- 15) cm2.
Exclusion Criteria:
Severe infection. Unhealthy skin of posterior or lateral aspect of leg . Defect more than 15 cm . Injury to vascular pedicle of the aimed flap .
Procedure: medial plantar artery flap
Procedure: Distally based sural artery flap
Medial plantar artery flap is a fasciocutaneous island flap raised from the non-weightbearing instep of the plantar foot. The dominant vascular pedicle of the flap consists of the medial plantar artery and venae comitantes
Distally based sural artery flap is a fascio-cutaneous island flap taken from the posterior aspect of the middle third of the leg and fed by the lower peroneal septo-cutaneous perforators in reverse fashion. Its vascular basis is the close association between the median superficial sural artery and peroneal artery perforators
Difference in functional outcome between group 1 and group 2
The functional outcomes are graded as excellent, good, and poor. The criteria for excellent results are the survival of the flap without any flap loss and walking without any aids . Survival of the flap with minimum complications and walking with aids are the criteria for good results. A result is considered poor when an alternative reconstructive procedure is considered
Time frame: Difference in functional outcome between group 1 and group 2 is measured at 4 months postoperative
This study is status unknown, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.
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Sohag University