Free medial plantar artery perforator flap for soft tissue defect reconstruction of the weight-bearing surface of the heel
10.3760/cma.j.cn114453-20200212-00039
- VernacularTitle:游离足底内侧穿支皮瓣修复足跟部负重区皮肤软组织缺损
- Author:
Huishuang DONG
1
;
Wanxi ZHANG
;
Jun YAO
;
Hongyu HU
;
Yunpeng ZHANG
;
Jingyu ZHANG
;
Zhiliang YU
;
Shunhong GAO
Author Information
1. 唐山市第二医院手外科 063000
- Keywords:
Surgical flap;
Heel;
Medial plantar perforator flap
- From:
Chinese Journal of Plastic Surgery
2021;37(12):1378-1381
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical application of the free medial plantar artery perforator flap for soft tissue defect reconstruction of the weight-bearing surface of the heel.Methods:The clinical data of patients with soft tissue defects in the weight-bearing surface of the heel were analyzed retrospectively, which were reconstructed with the free medial plantar artery perforator flaps in the Second Hospital of Tangshan from April 2011 to November 2017. The medial plantar artery was anastomosed with the posterior tibial artery. The venae comitantes were anastomosed with the great saphenous vein. The cutaneous branch of the medial plantar nerve was also anastomosed with the saphenous nerve. The donor sites were covered with full-thickness skin grafting. The survival condition, sensory function, countour, stability, and donor site scars were observed during follow-up.Results:A total of 11 patients with soft tissue defects in the weight-bearing surface of the heel were enrolled. There were six males and five females aged 24-41 years (mean, 31.3 years). All flaps survived uneventfully. Patients were followed up 11-56 months (mean 18.5 months). The appearance and function recovery of the flaps were satisfactory with 6-13 mm two-point discrimination(2-PD). No ulcer occurred. All patients returned to a normal walk.Conclusions:It is a feasible way for one-staged reconstruction of the combined loss of Achilles tendon and soft tissue in the heel by using free anterolateral femoral artery perforator flap with fascia lata, which has the advantages of good functional recovery, less trauma, short curing course, the satisfactory contour, and protective sensation achievable.
