Repair of large area of soft tissue defect of calf by the retrograde anterolateral thigh flap with single high cu-taneous perforator
10.3760/cma.j.issn.1001-2036.2018.06.006
- VernacularTitle:以单一高位穿支为蒂逆行股前外侧皮瓣修复小腿大面积软组织缺损
- Author:
Zhiyu HU
1
;
Chaofeng XING
;
Yingjie XIONG
;
Li SONG
;
Ke SONG
;
Yong ZHANG
;
Ruifu YANG
;
Shimin LI
;
Mingwu ZHOU
Author Information
1. 中国人民解放军第一五三中心医院创伤骨科
- Keywords:
Anterolateral thigh flap;
High cutaneous perforator;
Lower leg;
Soft tissue defect
- From:
Chinese Journal of Microsurgery
2018;41(6):544-547
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of repairing the large area of soft tissue defect of the calf by the retrograde anterolateral thigh flap with single high cutaneous perforator. Methods From January, 2014 to July, 2017, 9 cases of large area of soft tissue defects were repaired by the retrograde anterolateral thigh flap with sin-gle high cutaneous perforator.There were 7 males and 2 females, aged 24-48 years.Soft tissue defects area of the calf was 10.0 cm×7.0 cm to 35.0 cm×15.0 cm, including skin grafting and skin stretch to repair the area. The perforating point of the high cutaneous artery branches was designed at the proximal end of the flap, which was used as the single nutrient vessel of the flap. The rotation point of the flap was moved upward to the proximal thigh, which not only in-creased the blood supply of the flap, but also made the flap repair range to the distal calf. The flap range was 15.0 cm×10.0 cm to 22.0 cm×12.0 cm. Results All flaps were cut smoothly, and no vascular crisis occurred. All flaps survived smoothly.All patients were followed-up for 6-12 months. The appearance of flaps was plump, slightly bloat-ed, and their color was similar to the recipient area. The texture was soft, and no active disorder in the donor site. Conclusion The retrograde anterolateral thigh flap with single high cutaneous perforator can be designed at a high rotation point.By increasing the number and caliber of the anastomotic branch between the pedicle and lateral superi-or genicular artery, the blood supply and reflux of flap can be improved, and the survival rate is not affected. Com-pared with the traditional anterolateral thigh flap, it has great advantages.
