Dr. Spear said plastic surgeons sometimes fail to mention the flap options for the simple reason that implant surgery can be more profitable.
Reconstruction usually requires either free tissue transfer or complex local flap options including fasciocutaneous [3] and muscle flaps [4].
As local flap options are often more restricted in the distal region and the deformity needed easier to gain, the distal tibial open fracture is most suitable for this technique.
In the presence of weblike contracture the utilization of local tissue, when available, is a prefered approach for a relatively better appearance through a reasonably simpler surgical intervention, compared to skin graft applications and distant flap options.
Treatment of the ulcers was challenging, as flap options were limited over the lower third of the leg and skin grafting was not easy as there was a lack of healthy granulations.
Thus several local flap options were implemented for rapid, less morbid reconstructive procedure.
These subjects were offered two further treatment options: a second flap repair, or a long-term indwelling seton drainage.
Flap options can be justified only in specific conditions in diabetic patients with acute or chronic severe peripheral vascular disease [ 18].
Patients in whom the initial operation failed were offered two further treatment options: a second flap repair or a long-term indwelling seton drainage.
You have a few options for this flap: Wrap it underneath the bottom edge of the keyboard and hold its edge in place with cellophane tape.
