Perforator Based Tibialis Anterior Segmental Muscle Island Flap in Lower Extremity Reconstruction.
10.15596/ARMS.2016.25.2.69
- Author:
Il Hwan BYUN
1
;
Soon Sung KWON
;
Seum CHUNG
;
Woo Yeol BAEK
Author Information
1. Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea. parande@yuhs.ac
- Publication Type:Case Report
- Keywords:
Perforator flap;
Island flap;
Lower extremity
- MeSH:
Aged;
Follow-Up Studies;
Free Tissue Flaps;
Gait;
Humans;
Leg;
Lower Extremity*;
Male;
Perforator Flap;
Skin;
Tibial Arteries;
Transplants;
Ulcer;
Ultrasonography;
Wounds and Injuries
- From:Archives of Reconstructive Microsurgery
2016;25(2):69-71
- CountryRepublic of Korea
- Language:English
-
Abstract:
Reconstruction of the lower extremities is difficult due to a lack of skin laxity and muscular tissues. Here, we present a case of lower extremity reconstruction via the anterior tibial artery perforator based segmental muscle island flap. Our patient was a 75-year-old male with a chronic ulcerative wound on the right lower leg from an old car accident. A 5.0×0.5 cm size ulcerative wound with tibial bone exposure was noted. We planned to reconstruct the lower extremity defect with a free flap, but the vessel status was severely compromised intraoperatively. Thus, we found the anterior tibial artery perforator using Doppler ultrasound, elevated the tibialis anterior muscle segment flap, and transposed it to cover the defect successfully. The flap presented with a nice contour and the skin graft covering the flap survived completely. There were no complications of the surgical site at three months follow-up and no gait morbidity. This is a meaningful case applying the concept of segmental muscle flap based on a perforator that had advantages including proper bulkiness, vascularization, and preservation of function, which were well applied, leading to great success.
