Anterior tibial artery perforator flap for repairing distal foot damage with skin and soft tissue defects
10.3760/cma.j.issn.1009-4598.2019.12.010
- VernacularTitle: 胫前动脉前踝上穿支皮瓣修复足远端毁损伴皮肤软组织缺损
- Author:
Shunhong GAO
1
;
Kefeng XU
;
Jun LI
;
Zhiliang YU
;
Hongyu HU
;
Wenlong ZHANG
;
Huishuang DONG
Author Information
1. NO.2 Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan 063000, China
- Publication Type:Clinical Trail
- Keywords:
Perforator flap;
Distal foot damage;
Skin and soft tissue defect
- From:
Chinese Journal of Plastic Surgery
2019;35(12):1213-1217
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of repairing the skin and soft tissue defects of foot with the anterior tibial artery perforator flap.
Methods:Nine patients received the operation using the anterior tibial artery periosteal perforator flap to repair distal foot lesion with skin and soft tissue defects.There were six males and three females.All cases were the distal foot defects of skin and soft tissue with tendon and bone exposure, including traffic accident injury in 5 cases, crush injury in 3 cases, other causes of injury in 1 case. The defects ranged from 5 cm×3 cm to 9 cm×6 cm. The flaps ranged from 7 cm×5 cm—11 cm×8 cm. The donor sites were repaired with direct suture or full-thickness skin grafts.
Results:All the flaps were survived, without vascular crisis, congestion and blisters. 1 case had partial necrosis of flap margin, which was cured after dressing. All cases were followed up for 6 months to 34 months(mean 18 months). The appearance and function recovery of flaps were satisfactory.
Conclusions:It is an ideal flap donor site for repairing soft tissue defects of the distal foot with the anterior tibial artery perforator flap, which has the advantages of simple operation, less trauma, high skin flap survival rate and good appearance.
