Coverage the soft tissue defect in the foot and ankle with peroneal artery perforator-based sural neurocutaneous island flap

VernacularTitle:腓动脉穿支蒂腓肠神经营养皮瓣修复足踝部创面
Author: Jianwei WU ; Guojing YANG ; Huihuang PENG
Publication Type:Journal Article
Keywords: Flap; Injury; Microsurgical technique; Ankle and foot
From: Chinese Journal of Primary Medicine and Pharmacy 2010;17(9):1157-1158
CountryChina
Language:Chinese
Abstract: Objective To study the methods and therapeutic effect of coverage the soft tissue defect in the foot and ankle with neurocutaneous sural artery island flap.Methods 30 patients had been reconstructed foot and ankle soft-tissue defects with neurocutaneous sural artery island flap,the area of soft tissue defect from 2.0 cm × 3.5 cm～ 8.0 cm× 16.5 cm,the flaps were designed with the size measuring 2.5 cm × 4.0 cm to 8.5 cm × 18cm.Results 26 flaps survived completely and 4 with partial or margin necrosis,the wound infection occurred in 6 patients and were treated with dressing,shin graft and antibiotic drug.Conclusions Sural neurocutaneous island flaps are easy to separate.Major arteries are not injured.It is the ideal flap to repair the soft tissue defect around ankle and foot,the texture,color and contour of the flap is similar to recipient area.