Sensorial free perforator flap of deep medial plantar artery in reconstruction of soft tissue defect in heel: a report of 15 cases
10.3760/cma.j.cn441206-20240326-00084
- VernacularTitle:带感觉的游离足底内侧动脉深支穿支皮瓣修复足跟软组织缺损15例
- Author:
Yuejun LI
1
;
Xiaohui FENG
;
Yawei CHEN
;
Xiaoyu HU
;
Wei LI
;
Nengli CAO
;
Chenping BAI
Author Information
1. 郑州市骨科医院骨科，郑州 450000
- Keywords:
Deep medial plantar artery;
Perforator flap;
Heel;
Soft tissue defect;
Microsurgical reconstruction
- From:
Chinese Journal of Microsurgery
2024;47(5):525-527
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical effect of free perforator flap of deep medial plantar artery and with sensory nerve in reconstruction of soft tissue defect in heel.Methods:From May 2022 to June 2023, a total of 15 patients with soft tissue defect of heels that caused by various reasons were admitted to the Department of Orthopedics, Zhengzhou Orthopaedic Hospital. The patients were 6 males and 9 females aged 21 to 45 years old, at 32 years old in average. The size of defects was 5 cm×8 cm-10 cm×14 cm. Free perforator flaps of deep medial plantar artery with cutaneous medial plantar nerve were used, at 5 cm×8 cm-11 cm×14 cm in size. Cover the first phase of VSD dressing in the supply site, remove it after 1 week, fill the wound with granulation tissue, and then perform full-thickness skin graft.Results:All 15 flaps survived after surgery. Postoperative outpatient follow-up lasted for 8 to 15 (average 12)months. Appearance and texture of the reconstructed heels were satisfactory, the affected feet were able to bear normal weight without obvious tenderness or ulcer formation. The reconstructed heals were resistant to wear and cold with good sensation. TPD of the flaps achieved 5 mm to 7 mm, without sense of heterotopia after rehabilitation. There was no obvious pigmentation or cicatricial contracture.Conclusion:It is satisfactory to apply a free perforator flap of deep medial plantar artery with sensory nerve in reconstruction of soft tissue defect of heel.
