USE OF BIPEDICLE FLAPS IN LOWER LIMB RECONSTRUCTION: OUR CLINICAL EXPERIENCE

Abstract

Background: Soft-tissue defects of the lower limb with exposed implants present a reconstructive challenge, particularly following trauma. While free flaps are effective, simpler local flap options remain valuable in selected cases. The bipedicle flap offers reliable vascularity with minimal donor-site morbidity.

Objective: To evaluate the effectiveness of bipedicle fascio cutaneous flaps in the reconstruction of post-traumatic lower-limb soft-tissue defects with exposed implants.

Materials and Methods: This prospective clinical interventional study included 12 patients (8 males, 4 females) aged 24–64 years with post-traumatic lower-limb defects and implant exposure. Defect location was upper one-third in 1 case, middle one-third in 7 cases, and lower one-third in 4 cases. All defects were reconstructed using bipedicle fascio cutaneous flaps. Postoperative assessment include flap viability, wound healing, graft uptake, and complications.

Results: All bipedicle flaps survived completely, achieving stable wound coverage in all patients. Partial split-thickness skin graft loss was observed in three cases, predominantly involving defects in the lower one-third of the leg. They were managed conservatively, and no flap required revision.

Conclusion: Bipedicle fascio cutaneous flaps provide a simple, reliable and effective option for reconstruction of post-traumatic lower-limb linear soft-tissue defects with high flap survival and minimal complications.