Application of free chimeric perforator flap with deep epigastric inferior artery for the soft tissue defect on the lower extremity with deep dead space.
- Author:
Tang JUYU
;
Qing LIMING
;
Wu PANFENG
;
Zhou ZHENGBING
;
Liang JIEYU
;
Yu FANG
;
Fu JINFEI
- Publication Type:Journal Article
- MeSH: Cicatrix; Epigastric Arteries; transplantation; Feasibility Studies; Follow-Up Studies; Humans; Leg Injuries; surgery; Lower Extremity; Perforator Flap; transplantation; Soft Tissue Injuries; surgery; Time Factors; Wound Healing
- From: Chinese Journal of Plastic Surgery 2015;31(6):425-428
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the feasibility and the effect of free chimeric perforator flap with deep inferior epigastric artery for the soft tissue defect on the lower extremity with deep dead space.
METHODSFrom Mar. 2010 to Aug. 2011, 8 patients with soft tissue defects on the lower extremities combined with dead space, bone or joint exposure were reconstructed with free hinged perforator flaps with deep inferior epigastric artery. The muscle flap was inserted into the deep dead space, with perforator flap for superficial defect. The defects on the donor sites were closed directly.
RESULTSAll the flaps survived with primary healing. Good color and texture was achieved. The patients were followed up for 12-24 months, with an average of 16 months. 2 over-thick flaps were treated by flap-thinning surgery. Only linear scar was left on the donor site on abdomen with no malfunction.
CONCLUSIONSThe free chimeric perforator flap with deep inferior epigastric artery can simultaneously construct the dead space and superficial defect with only anastomosis of one set of vascular pedicle. It is an ideal method with good results on recipientsites and less morbidity on donor sites.