The effect of free medial sural artery perforator flap on aesthetic repair of toe skin defects
10.3760/cma.j.cn114453-20200507-00271
- VernacularTitle:游离腓肠内侧动脉穿支皮瓣对足趾皮肤缺损的美学修复
- Author:
Tao YANG
1
;
Lei ZHAO
;
Ke SONG
;
Guangxian ZHU
;
Yingjie XIONG
;
Zhenfeng LI
;
Mingwu ZHOU
;
Chaofeng XING
Author Information
1. 联勤保障部队第九八八医院创伤显微外科，郑州 450000
- Keywords:
Surgical flap;
Medial sural artery;
Toe;
Repair
- From:
Chinese Journal of Plastic Surgery
2022;38(2):176-179
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the surgical method and clinical value of free medial sural artery perforator (MSAP) flap for repairing the wound of toe.Methods:The patients with isolated toe skin defects admitted to the Department of Trauma Microsurgery of No.988 Hospital of Joint Logistics Support Force were treated with MSAP flap for wound repair from June 2014 to December 2018. All the donor site were closed primarily. After the operation, the appearance, texture, hair growth and functional recovery of donor and recipient sites were observed through regular follow-up in outpatient or WeChat.Results:A total of 11 cases were enrolled, including 7 males and 4 females, aged from 19 to 44 years, with an average of 31.3 years. The wound sites were located at the first toe in 8 cases, the second toe in 2 cases, and the fourth toe in 1 case. The size of the skin defects was from 2.2 cm×1.8 cm to 5.7 cm×3.8 cm, the primary repair was performed in 4 cases and secondary repair in 7 cases, and the flaps ranged from 2.6 cm×2.1 cm-6.1 cm×4.2 cm. Ten cases survived successfully, and the wounds healed primarily. One case had local necrosis at the distal end of the flap, the wound healed after secondary repair surgery. All patients were followed-up from 6 to 18 months. The appearance of flaps was good in 9 cases and slightly swollen in 2 cases. All flaps had good texture, no discomfort of wearing shoes, no obvious influence on walking, and linear scar remained in the donor area. Three cases were treated with laser hair removal because of the flap hair growth.Conclusions:The method of using a free MSAP flap to repair the small toe wound can restore its appearance to satisfaction and achieve a good aesthetic repair effect.
