The clinical application of plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps.
- Author:
Li-Qun CUI
1
;
Jin-Gang CHEN
;
Ming ZHANG
;
Wan-Chao ZHAO
;
Rui MA
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Female; Foot Injuries; surgery; Humans; Male; Middle Aged; Skin Transplantation; Soft Tissue Injuries; surgery; Surgical Flaps; blood supply; innervation; Tibial Arteries; surgery; Young Adult
- From: Chinese Journal of Plastic Surgery 2009;25(3):178-180
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the clinical effect of plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps.
METHODS12 cases with soft tissue defects of forefeet were treated by plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps. The flap size ranged from 3.0 cm x 3.5 cm to 5.5 cm x 8.5 cm.
RESULTAll flaps survived completely. The patients were followed up for 6 - 24 months. The texture and flexibility of the flaps were normal with no ulcer. The sensation improved with the two-point discrimination of 7 - 10 mm. The cosmetic and functional results were satisfactory. The wounds at donor site healed primarily.
CONCLUSIONSThe flaps have expanded size for large defects with good flexibility, thickness and texture. It is easily performed with less morbidity to main artery.
