Free perforating flap of peroneal artery for repairing the forefoot skin defects
10.3969/j.issn.1003-0034.2013.08.005
- VernacularTitle:游离腓动脉穿支皮瓣修复前足皮肤缺损
- Author:
Ge Lin LEI
1
;
Xiang Ru HE
;
Peng CHENG
;
Lei Jian ZHANG
;
Bao Duo QI
Author Information
1. 解放军第一医院手足外科
- Keywords:
Soft tissue injuries;
Surgical flap;
Forefoot,human;
Reconstructive surgical procedures
- From:
China Journal of Orthopaedics and Traumatology
2013;(8):634-636
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical techniques and effects of repairing skin defects of the forefoot by free perfo-rating flap nourished by peroneal artery. Methods:From June 2007 to June 2011,11 patients with skin and soft tissue defects of the forefoot were repaired by free peroneal artery perforating flap in emergent or subemergent. There were 10 males and 1 fe-male with an average age of 28.6 years old ranging from 23 to 46 years old. Among them,4 cases injured for traffic accidents,3 for crush and 4 for machine strangulation. In all cases ,the defect area of forefoot tissue varied from 2.0 cm × 4.0 cm to 4.0 cm × 8.5 cm,and the adopted area varied from 2.5 cm×4.5 cm to 4.0 cm×9.0 cm. The operation time was from 6 to 96 h (averaged 31.8 h). The blood vessels were anastomosed end to end. Results:All of the transferred free flaps survived uneventfully. Nine of them were successfully followed up from 6 to 24 months. The appearance ,elasticity and functions of flaps were satisfied ac-companied with slight damage of donor site although seemed bloated. The smaller donor site could be intimately seamed if nec-essary. Conclusion:The vessels anatomy of knee with antegrade extended peroneal artery was relative constant with a moderate thickness and simple operation,is useful to repair small or middle areas of skin defects in forefoot.
