Transferred direct popliteal cutaneous artery perforator propeller flap for repairing soft tissue defects of popliteal fossa
10.3760/cma.j.cn114453-20200401-00196
- VernacularTitle:腘窝直接皮动脉穿支蒂螺旋桨皮瓣转位修复腘窝软组织缺损
- Author:
Tianhao ZHANG
1
;
Zhijiang WANG
;
Jian LIN
;
Caiyue LIU
;
Lizhi WU
;
Heping ZHENG
Author Information
1. 上海交通大学医学院附属新华医院（崇明）创面防治研究中心 202150
- Keywords:
Perforator flap;
Popliteal artery;
Wounds and injuries;
Popliteal fossa;
Direct popliteal cutaneous artery perforator;
Propeller flap
- From:
Chinese Journal of Plastic Surgery
2021;37(1):72-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect of transferred direct popliteal cutaneous artery perforator propeller flap for repairing soft tissue defects of the popliteal fossa.Methods:The clinical data of 9 patients with defects of popliteal fossa from June 2013 to June 2019 were analyzed retrospectively, in which including 6 men and 3 women whose ages ranged from 25 to 73 years old. The sizes of soft tissue defects ranged from 6.5 cm×3.5 cm to 17.0 cm×8.5 cm. Perforator propeller flap was designed and cut to repair the defects according to the location, size and shape of defects, in which the largest was 18.0 cm×10.0 cm and the smallest was 7.5 cm×4.5 cm. To evaluate the effect according to survival, infection control, elasticity and color, appearance of the flaps, the scar at the donor site, cutaneous sense, knee joint function, and patients’satisfaction.Results:All the flaps survived. The incisions in donor and recipient site were primary healing. The survival of flaps was good. The appearance, color, and elasticity were close to normal. On the other hand, the scar at the donor site was small after 6 to 60 months follow-up. 2 cases appeared necrosis on edge of distal flaps and were healed after dressing. The efficacy was satisfactory in 8 cases, general in 1 case and without dissatisfactory. The function of knee joint was excellent in 7 cases, good in 1 case, and general in 1 case. Skin swelling rating in early-stage was 1st degree in 6 patients, 2nd degree in 2 patients, 3rd degree in 1 patient; in the later stage was 1st degree in 8 patients, 2nd degree in 1 patient.Conclusions:It is simple, safe and reliable to repair soft tissue defects of popliteal fossa with transferred direct popliteal cutaneous artery perforator propeller flap, which would be an ideal method for repairing soft tissue defects of the popliteal fossa.
