Clinical experiences of the reversed superficial peroneal neurocutaneous island flap based on the descending branch of the distal perforating branch of the pcroneal artery
- VernacularTitle:腓动脉终末穿支降支蒂逆行腓浅神经营养岛状皮瓣的临床应用
- Author:
Yimin CHAI
;
Binfang ZENG
;
Qinlin KANG
;
Peihua CAI
;
Yang CHEN
;
Tianqin CHENG
- Publication Type:Journal Article
- Keywords:
Superficial peroneal nerve;
Surgical flap;
Transplantation;
Microsurgery
- From:
Chinese Journal of Microsurgery
2008;31(4):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the operative technique and clinical experiences of the modified reversed superficial peroneal neurocutaneous island flaps for reconstruction of the ankle and foot.Methods According to the previous anatomical studies and our clinical experiences,we devised the reversed superficial peroneal neuroeutaneous island flap based on the descending branch of the distal perforator of the peronealrtery and its venae comitantes,and covered the soft defect of the ankle and foot with it.Results Twenty-one of the 23 flaps survived completely without complications,while the other two occurred marginal necrosis.The maximum surface of the flap in our series was 12 cm×13 cm.and the minimum one was 5 cm×4 cm.The length of the pedicle ranged from 5 cm to 10 cm.The texture of the flaps was good,while the cosmetic and function of them were evaluated as acceptable in all cased after 6 to 21 months follow-up.Conclusion The reversod superficial peroneal neurocutaneous island flaps is a versatile,reliable procedure useful in reconstruction of the ankle and foot.