Repair of great foot and ankle wounds with posterior tibial artery perforator-based dicyto-pattern flaps from interoposterior compartment of calf

VernacularTitle:胫后动脉穿支蒂小腿内后侧网状供血皮瓣修复足踝部巨大创面
Author: Zairong WEI ; Guangfeng SUN ; Xiujun TANG ; Dali WANG ; Yuming WANG ; Wenjie HAN
Publication Type:Journal Article
Keywords: Surgical flaps; Tibial artery; Perforator flaps; Ankle injuries; Foot injuries
From: Chinese Journal of Trauma 2010;26(8):734-736
CountryChina
Language:Chinese
Abstract: Objective To investigate the method of repairing great wounds on foots and ankles with posterior tibial artery perforator-based dicyto-pattern flaps from interior and posterior compartment of leg. Methods Eighteen patients with great foot wound were repaired with posterior tibial artery perforator-based dicyto-pattern flaps from interoposterior compartment of calf from January 2006 to December 2008. The patients were at age of 16-52 years, with flap areas for 20 cm ×6 cm-25 cm × 10 cm. The donor sites of flaps were repaired with free skin graft. Results All the flaps primarily survived except for one patient with partial necrosis (4.0 cm × 1.0 cm) in the distal part of the flap. Twelve patients were followed up for from two months to two years, which showed good color, texture and appearance of the flaps. Conclusion This kind of flap is one of ideal flaps to repair great foot and ankle wounds, for it takes advantages of reliable blood supply, wide repair scope, safe operation and avoidance of damage to the major artery.