We investigated the clinical features in revision of flap surgery after reconstruction of the extremities for optimal selection of flap and reconstruction. The revision was performed to 42 flaps of reconstruction of the extremities (28 males and 14 females). Ages ranged from 21 to 61 years, with a mean age of 36.5 years. The reconstructed sites were the hand in 21 cases, the forearm in 7 cases, the lower extremity in 11 cases, and the foot in 3 cases. The revisions of flaps were performed for aesthetic aspects in 24 cases, to resolve difficulty with footwear for functional aspects in 10 cases, and pre-operative preparation surgery in 8 cases. The mean timing of the revision was 14.2 months (range, 4-60 months) after reconstruction.
To achieve functional and aesthetic results after reconstructive surgery to the extremities are extremely important. For the selection of the flap, the anatomical characteristics of the recipient site should be considered, i.e., color and texture match and recipient vessels. The surgical aspects are: being appropriate for the design, contour requirements of the defect, meticulous procedure, and adequate postoperative care.
