Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.202500182
Jornal Vascular Brasileiro
Desafio Terapêutico

Possibilities for revascularization and closure of wound defects in lower limbs with critical ischemia through free gracilis flap transfer: review of 3 cases

Possibilidades de revascularização e fechamento de defeitos de feridas nos membros inferiores em casos de isquemia crítica utilizando transferência livre de retalho do músculo grácil: revisão de três casos

Ilya Igorevich Kalitko; Mikhail Viktorovich Chernyaev; Aleksander Georgievich Faybushevich; Igor Mikhailovich Kalitko

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Abstract

This article presents three clinical cases of lower limb revascularization with closure of trophic defects using free gracilis flap transfer; two patients with Buerger’s disease and one patient with type 2 diabetes mellitus. In these cases, we also describe and discuss direct or indirect evidence of indirect revascularization of ischemic tissues by means of the flap, as well as the advantages and limitations of the free gracilis muscle flap.

Keywords

limb salvage; gracilis flap; free flap; critical ischemia; case report

Resumo

Este artigo apresenta três casos clínicos de revascularização dos membros inferiores com fechamento de defeitos tróficos utilizando transferência livre de retalho do músculo grácil: dois pacientes com doença de Buerger e um paciente com diabetes melito tipo 2. Além disso, são descritas e discutidas as evidências diretas e indiretas da revascularização indireta de tecidos isquêmicos por meio de retalho, bem como as vantagens e limitações do retalho livre do músculo grácil.

Palavras-chave

salvamento de membro; retalho de grácil; retalho livre; isquemia crítica; relato de caso

Referências

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Submetido em:
07/05/2025

Aceito em:
14/06/2025

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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