الفهرس 
AbstractOnly 14 pages are availabe for public view
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Abstract
open wound of the lower limb is one of the common health problems that has significant economic and social burden. It has a risk of osteomyelitis of the underlying bone and even necrosis can occur. Affection of the tendons together with severe pain can results in limited mobility which has its own morbidity.
Treatment of these wounds is an urgent issue with a satisfactory aesthetic and functional results as well as minimal complications
The aim of this study was to evaluate the difference between the perforator-based island flaps and fasciocutaneous flaps (axial- random) in reconstructi0n of lower extrmities regarding functional, aesthetic outcome, size of the flap, degree of rotation, technical difficuilties, percentage of flaps survival, hospital stay and donor site morbidity.
The study was conducted on 40 patients with soft tissue defects in lower extremities which were equally distributed into two groups. group 1 consisted of 20 patients that were treated by perforator based island flap and group 2 that consisted of 20 patients treated by fasciocutaneous flap.
The mean duration of the procedure was 2.22 ±0.3 and 1.12 ±0.1 for perforated based flap and fasciocutaneous flap respectively which reflects the statistically significant short duration of the fasiocutanous flap when compared to perforator based flap.
The two techniques had similar results when evaluated by the Likert scale. The results of both procedures had no significant statistical differences as regards to any of the Likert score components namely; color, texture, appearance and shape.
The main finding of the current study was the comparable postoperative outcome for both techniques. The number of patients that had necrosis was 7 in perforate based island flap and 4 in fasciocutaneous flap which rereswnted 35% nd 20% respectively of each studied group and this was statistically insignificant.