Repair of soft tissue defect in hand or foot with lobulated medial sural artery perforator flap.
- Author:
Zhao FENGJING
;
Yao JIANMIN
;
Zhang XINGQUN
;
Ma LIANG
;
Zhang LONGCHUN
;
Xu YIBO
;
Wang PENG
;
Zhu ZHEN
- Publication Type:Journal Article
- MeSH: Arteries; Cicatrix; Follow-Up Studies; Foot Injuries; surgery; Hand Injuries; surgery; Humans; Perforator Flap; transplantation; Reconstructive Surgical Procedures; Skin Transplantation; Soft Tissue Injuries; surgery; Time Factors; Wound Healing
- From: Chinese Journal of Plastic Surgery 2015;31(6):418-421
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the clinical effect of the lobulated medial sural artery perforator flap in repairing soft tissue defect in hand or foot.
METHODSSince March 2012 to September 2014, 6 cases with soft tissue defects in hands or feet were treated by lobulated medial sural artery flaps pedicled with 1st musculo-cutaneous perforator and 2st musculo-cutaneous perforator of the medial sural artery. The size of the flaps ranged from 4.5 cm x 10.0 cm to 6.0 cm x 17.0 cm.
RESULTS5 cases of lobulated flap survived smoothly, only 1 lobulated flap had venous articulo, but this flap also survived after the articulo was removed by vascular exploration. All flaps had desirable appearance and sensation and the two-point discrimination was 6 mm in mean with 4 to 12 months follow-up (average, 7 months). Linear scar was left in donor sites in 3 cases and skin scar in 3 cases. There was no malfunction in donor sites.
CONCLUSIONSLobulated medial sural artery perforator flap is feasible and ideal method for the treatment of soft tissue defect in hand or foot with satisfactory effect.