Medial sural artery perforator pedicled flap for the coverage of soft tissue defects around the knee and upper ORe third of lower leg
- VernacularTitle:腓肠内侧动脉穿支蒂皮瓣修复膝和小腿上1/3软组织缺损
- Author:
Gonglin ZHANG
;
Ming ZHANG
;
Ao GUO
;
Lingzhi ZHANG
;
Hao JING
;
Gansheng WANG
;
Jinfu ZHANG
;
Aijun LING
- Publication Type:Journal Article
- Keywords:
Perforator flap;
Medial sural artery;
Knee;
Leg;
Transplantation;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2008;31(4):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize clinical application of the medial sural artery perforator pedicled flap for the coverage of soft tissue defects around the knee and upper one third of lower leg.Methods From May 2003 tO January 2007,16 patients(11 men,5 women)with soft tissue defects around the knee and upper one third of lower leg underwent reconstruction with the medial sural artery perforator pedicled flap.Of them,4 eases recipient site were located on the prepatellar region,2 cases were located on the anterolateral pateflar,1 case was located on the anteromedial patellar,and 9 cases upper one third oflowerleg.They ranged in age from 23 to 52 years(mean,36 years).The donor leg was ipsilateral in all cages. Results One ca8e sustained superficial infection postoperative and the gradual wound healed by daily wound dressings.All the flaps had survived completely without major complication with satisfactory clinical results. Follow-up period ranged from 3.0 months to 3.5 years(mean, 1.7 years)postoperatively.There was no remarkable donor site morbidity.All cases had good appearance and function in recipient site.There was no remarkable donor site morbidity. Conclusion The medial sural artery perforator flap is nourished by the musculocutaneous perforater of the medial sural artery.The flaps seem to has highly vascularize,a constant vascular anatomy and a long vascular pedicle.The flap is thin and suitable for the coverage of soft tissue defects around the knee and upper one third of lower leg.
