Application of reversed perforator-plus sural neurofasciocutaneous flap in lower leg
10.3760/cma.j.issn.1001-2036.2009.03.002
- VernacularTitle:蒂部加强穿支血管的逆行腓肠神经营养血管筋膜皮瓣的应用
- Author:
Nanji LU
;
Yimin CHAI
;
Chanyang WANG
;
Peihua CAI
;
Jiagen SHENG
;
Binfang ZENG
- Publication Type:Journal Article
- Keywords:
Peroneal perforator;
Sural nerve;
Surgical flap;
Foot;
Microsurgery
- From:
Chinese Journal of Microsurgery
2009;32(3):181-183,illust 1
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the operative technique and clinical results of reversed perforator-plus sural neurofasciocutaneous flap in lower leg. Methods Perforator-plus sural neurofasciocutaneous flaps, which designed along the axis of the sural nerve and based on the dual-pedicle of fasciocutaneous and per-oneal perforator, were used to reconstruct soft-tissue defect in lower extremities. Results Twenfy-four flaps, ranged from 25 cm×12 cm - 8 cm ×7 cm in size, survived completely without venous congestion and distal ischemia and necrosis. The color and texture of the flaps were good. The appearance and functional re-suits were satisfactory with following up for 6 to 12 months. Conclusion The modified technique in pediclehave minimized the complication, enlarged the size of the flap and improved the survive rates. It is a goodmethod in repairing large soft-tissue defects of extremities.