Author(s): Dr. M Benkhaldoun, Dr. M Habla, Dr. A Meftah, S Karti, A El Harti and M Diouri

Abstract: Skin defects of the lower limbs are difficult to treat due to the presence of other associated lesions, notably the exposure of bone and tendons and due to vascular precariousness; all the more serious in the elderly whether or not they have other comorbidities.In this article we present two cases of patients each aged 60 and 63 years, the first without associated comorbidities had a post-traumatic loss of substance of the ankle, the second hypertensive and diabetic with chronic arteriopathy had an arterial ulcer of the leg, in the In two cases, the coverage was achieved by the neurosural flap with a distal pedicle, the pedicle of which we shortened in the second case to reduce the risk of anticipated vascular damage.The evolution was without problem in the first case then as expected in the second case we had a peripheral necrosis with fortunately preservation of the central part covering the bone which ended up healing in a controlled manner after failure of the skin graft of the peripheral parts of the flap.Conclusion: Despite its reliability and technical simplicity, the neurosural flap can present difficulties in development, particularly in the elderly with or without comorbidities, these difficulties did not prevent us from practicing it in our elderly patients, especially since it was the simplest in terms of patients, so we believe that this type of flap still has its place in elderly patients or patients with comorbidities.

DOI: 10.22271/27081494.2024.v6.i1a.88

Pages: 01-03 | Views: 178 | Downloads: 61

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