Clinical application of the medial perforator flap of the first plantar artery to repair soft tissue defect near the first metatarsophalangeal joint
10.3760/cma.j.cn114453-20190725-00233
- VernacularTitle:第一跖底动脉足内侧穿支皮瓣修复第一跖趾关节附近软组织缺损
- Author:
Siyue WANG
1
;
Xiaosan ZHANG
;
Xinjiang MI
;
Wenzheng WANG
;
Jingquan CHEN
;
Yuyuan FENG
Author Information
1. 山东省警官总医院骨科，济南 251600
- Keywords:
The first plantar artery;
Perforator flap;
The first metatarsophalangeal joint;
Soft tissue defect
- From:
Chinese Journal of Plastic Surgery
2020;36(9):990-993
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of the medial perforator flap of the first plantar artery for repairing the soft tissue defect near the first metatarsophalangeal joint.Methods:From January 2016 to April 2018, 10 patients of soft tissue defect near the first metatarsophalangeal joint were treated in the Department of Orthopedics, Shandong Police General Hospital, including 6 males and 4 females, aged 22-61 years old, with an average age of 40 years. The defects of the feet were recovered by the medial perforator flap of the first plantar artery, and the flap donor defects were covered by split-thickness skin grafts.Results:All flaps and skin grafts of the patients were survived.All patients were followed up for 12-22 months postoperationly/after operation. The flaps were not swollen or ruptured, and the patients walked normally with full weight-bearing.Conclusions:The perforator artery of this flap is consistant, the harvesting of the flap is simple, and the texture of skin is similarwith surrounding tissue, there is no deficit to the flood supply of the foot after harvesting the flap. So, it is an ideal choice for repairing the defect of the soft tissue near the first metatarsophalangeal joint.
