Effect of modified distally based propeller sural perforator flap for defect at foot and ankle and lateral gastrocnemius artery perforator flap for defect at donor site
10.3760/cma.j.issn.1009-4598.2017.06.010
- VernacularTitle: 改良螺旋桨腓动脉穿支皮瓣与腓肠外侧动脉穿支皮瓣在足踝缺损修复中的应用
- Author:
Dajiang SONG
1
;
Yixin ZHANG
;
Xin ZHOU
;
Xiao ZHOU
;
Zan LI
;
Zhenglin CHI
Author Information
1. Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China
- Publication Type:Clinical Trail
- Keywords:
Perforator flap;
Peroneal artery;
Lateral gastrocnemius artery;
Foot and ankle
- From:
Chinese Journal of Plastic Surgery
2018;34(1):41-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of modified distally based propeller sural perforator flap for defect at foot and ankle and lateral gastrocnemius artery perforator flap for defect at donor site.
Methods:From January 2014 to January 2016, 12 cases with defects at foot and ankle were reconstructed by modified distally based propeller sural perforator flaps. The result ed defects at donor sites were reconstructed by lateral gastrocnemius artery perforator flaps.The flaps size ranged from 5.5 cm×3.5 cm to 13.0 cm×7.0 cm for modified distally based propeller sural perforator flaps, and 7.0 cm×4.0 cm to 10.0 cm×6.0 cm for lateral gastrocnemius artery perforator flaps. The 12 cases included 10 males and 2 females, aged from 14 to 48 years (25.7 years on average).
Results:The lateral gastrocnemius artery perforators existed consistently in all cases. All flaps survived completely with no vascular crisis, wound dishesecense or obvious swelling. Primary healing was achieved in both recipient and donor sites. 12 cases were followed up for 6-14 months (12.4 months on average) with satisfactory esthetic and functional result in both recipient and donor sites, only linear scar was left on the donor sites.
Conclusions:The lateral gastrocnemius artery perforator flap is suitable for defect left by modified distally based propeller sural perforator flap. Combination of the two flaps is an optional choice for defects at foot and ankle.
