Posterior tibial artery perforator pedicled propeller flaps for children heel injuries in spoke wheel accident
10.3760/cma.j.issn.1009-4598.2018.08.012
- VernacularTitle: 胫后动脉穿支螺旋桨皮瓣修复儿童足跟部轮辐伤
- Author:
Juyu TANG
1
;
Fang YU
;
Panfeng WU
;
Zhengbing ZHOU
;
Yongbing XIAO
;
Xiaoyang PANG
;
Lei ZENG
;
Ding PAN
;
Liming QING
;
Rui LIU
Author Information
1. Department of Hand and Microsurgery Xiangya Hospital, CSU, Changsha 410008, China
- Publication Type:Journal Article
- Keywords:
Propeller;
Perforator flap;
Heel;
Child
- From:
Chinese Journal of Plastic Surgery
2018;34(8):636-639
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinic effects of posterior tibial artery perforator pedicled propeller flaps for children heel injuries in spoke wheel accidents.
Methods:During August 2010 and May 2016, 12 children with spoke heel injuries were covered by posterior tibial artery perforator pedicled propeller flaps. The skin and soft tissue defects ranged from 4 cm×3 cm to 8 cm×3 cm. There were 4 cases with achilles tendon exposure, 8 cases with achilles tendon defect in distal, 6 cases with part of calcaneus defect. The range of achilles tendon defect were 2-5 cm(average 3.2 cm). The flap size ranged from 8.0 cm×3.0 cm to 12.5 cm×4.0 cm. In 6 cases, fascia tissue was harvested to fill the heel cavity. The donor sites were closed directly in 11 cases, and covered with skin grafting in one case.
Results:All flaps survived smoothly with no complications. All patients were followed up 3 months to 20 months (mean, 8.5 months). The color and appearance of the flaps were satisfactory, with no impact on wearing shoes and walking.
Conclusions:Posterior tibial artery perforator pedicled propeller flap which has reliable blood supply, less donor-site morbidities, cosmetic shape, simple operation and less postoperative complications is an ideal method for surfacing heel spoke injuries in children.
