Comparative Study between Hemisoleus flap and Fascio-Cutaneous flap in Middle Third Lower Limb Infected Traumatic Wound

Abstract

Objective: To compare the outcome of hemi-soleus and fascio-cutaneous in terms of flap viability, complications and stable coverage in infected traumatic wound on middle third lower limb Study design & setting: Original article, Department of Plastic Surgery PIMS. The study has a period of six months from October 29, 2019, to April 29, 2020, under the approval of the Ethical Review Board (ERB) with reference number SZABMU/457 Methodology: The study aimed to investigate the outcomes of a specific intervention. The participant pool consisted of 120 individuals who met the predefined inclusion criteria, and each participant provided informed consent along with demographic information. The subjects were then randomly assigned to one of two groups. Subsequent to the surgical procedures, both groups were closely monitored in the post-operative phase, with meticulous recording of relevant data. The outcomes of interest were measured, and all information was systematically collected using a pre-designed Performa Result: The mean age of the patients was 37.09 years,109(90.83%) were male patients. Motor vehicle accident cause of injury was noted in 57(47.50%) patients and 5-7 cm size of defect was noted in 64(53.33%) patients. Few complications are found higher in Hemisoleus Flap group and few found higher in Fascio cutaneous flap group. Conclusion: Results showed superior efficacy of hemi-soleus flaps, especially in open tibia fractures, with fewer complications. This supports their preference in managing such wounds, ensuring stable coverage and potential cost savings.