A case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania

In the treatment and management of severe wounds, microsurgical repair remains the gold standard. However, it is difficult to transfer free tissue from a Tanzanian perspective due to donor site morbidity, longer operational times, bulky forms, recipient vessel stress, sophisticated surgical expertis...

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Autores principales:	Joseph R Msemwa, Clement N Mweya
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/1cbfb3cda0224a5eb5a6d85ba230bc99
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spelling	oai:doaj.org-article:1cbfb3cda0224a5eb5a6d85ba230bc992021-12-01T23:03:49ZA case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania2050-313X10.1177/2050313X211060685https://doaj.org/article/1cbfb3cda0224a5eb5a6d85ba230bc992021-11-01T00:00:00Zhttps://doi.org/10.1177/2050313X211060685https://doaj.org/toc/2050-313XIn the treatment and management of severe wounds, microsurgical repair remains the gold standard. However, it is difficult to transfer free tissue from a Tanzanian perspective due to donor site morbidity, longer operational times, bulky forms, recipient vessel stress, sophisticated surgical expertise, and high costs of the equipment. Meanwhile, the reverse sural flap has been considered as the ultimate tissue restoration technique. This study reviews a case of a 35-year-old man who was admitted at Mbeya Zonal Referral Hospital in the Department of Orthopaedics, Trauma, and Neurosurgery in Mbeya, Tanzania. The patient had a 9-day injury to the rear of his right ankle due to a cut he suffered after tripping over a toilet seat in the washroom. After the diagnosis, the plan involved surgical debridement, tendon repair, and reverse sural flap rotation. Despite the difficult working environment requiring advanced learning experience, our patient fully recovered after 3 weeks. Proving that reverse sural flap is one of the few available possibilities in the protection of vital structures such as bone or tendons, in the distal areas of the leg, ankle, and foot especially when the medical treatment facility lacks a strong microsurgery team and equipment.Joseph R MsemwaClement N MweyaSAGE PublishingarticleMedicine (General)R5-920ENSAGE Open Medical Case Reports, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Joseph R Msemwa Clement N Mweya A case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania
description	In the treatment and management of severe wounds, microsurgical repair remains the gold standard. However, it is difficult to transfer free tissue from a Tanzanian perspective due to donor site morbidity, longer operational times, bulky forms, recipient vessel stress, sophisticated surgical expertise, and high costs of the equipment. Meanwhile, the reverse sural flap has been considered as the ultimate tissue restoration technique. This study reviews a case of a 35-year-old man who was admitted at Mbeya Zonal Referral Hospital in the Department of Orthopaedics, Trauma, and Neurosurgery in Mbeya, Tanzania. The patient had a 9-day injury to the rear of his right ankle due to a cut he suffered after tripping over a toilet seat in the washroom. After the diagnosis, the plan involved surgical debridement, tendon repair, and reverse sural flap rotation. Despite the difficult working environment requiring advanced learning experience, our patient fully recovered after 3 weeks. Proving that reverse sural flap is one of the few available possibilities in the protection of vital structures such as bone or tendons, in the distal areas of the leg, ankle, and foot especially when the medical treatment facility lacks a strong microsurgery team and equipment.
format	article
author	Joseph R Msemwa Clement N Mweya
author_facet	Joseph R Msemwa Clement N Mweya
author_sort	Joseph R Msemwa
title	A case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania
title_short	A case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania
title_full	A case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania
title_fullStr	A case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania
title_full_unstemmed	A case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania
title_sort	case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from tanzania
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/1cbfb3cda0224a5eb5a6d85ba230bc99
work_keys_str_mv	AT josephrmsemwa acasereportofareversesuralflapforposterioranklesofttissuedefectfollowinganinjuryinapatientfromtanzania AT clementnmweya acasereportofareversesuralflapforposterioranklesofttissuedefectfollowinganinjuryinapatientfromtanzania AT josephrmsemwa casereportofareversesuralflapforposterioranklesofttissuedefectfollowinganinjuryinapatientfromtanzania AT clementnmweya casereportofareversesuralflapforposterioranklesofttissuedefectfollowinganinjuryinapatientfromtanzania
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A case report of a reverse sural flap for posterior ankle soft-tissue defect following an injury in a patient from Tanzania

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