Relaying peroneal artery perforator flap for coverage of anterior middle and lower tibia and donor-site defects
10.3760/cma.j.issn.1009-4598.2018.12.005
- VernacularTitle: 腓动脉穿支接力皮瓣修复胫前中下段及供瓣区皮肤软组织缺损
- Author:
Yaojun WANG
1
;
Zhongliang REN
;
Jiajie XUE
;
Lei GUO
;
Dengwen GAO
;
Qingye HAO
;
Fucheng GAO
;
Jie YANG
Author Information
1. Department of Burn & Plastic and Hand & Foot Surgery, Yulin No.2 Hospital, Yulin 719000, China
- Publication Type:Clinical Trail
- Keywords:
Peroneal artery perforator;
Perforator flap;
Soft tissue defect;
Wound repair;
Calf
- From:
Chinese Journal of Plastic Surgery
2018;34(12):1005-1009
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical effect of relaying peroneal artery perforator flap on anterior middle and lower tibia and donor-site defects repair.
Methods:From July 2014 to June 2017, 12 patients were included. The anterior middle-lower tibia soft tissue defects and the primary donor-sites were repaired by relaying peroneal artery perforator flaps, and the second donor-sites were directly closed. The size of anterior middle-lower tibia defects ranged from 5 cm × 3 cm to 13 cm × 9 cm. The flaps repairing the wounds ranged from 6 cm × 4 cm to 14 cm × 10 cm in size. The flaps restoring the first donor-site ranged from 5 cm×4 cm to 10 cm×6 cm in size. The clinical effect was evaluated by observing the appearance of the recipient sites and the donor sites.
Results:All the flaps survived uneventfully. All patients were followed up for 8-36 months (average 20 months). The flaps remained with good texture and color. The second donor-sites only left linear scar, which do not affect the overall appearance of limb.
Conclusions:The blood supply of relaying peroneal artery perforator is reliable without any disturbing of the main artery. The flap located on the lateral of the calf. The relaying peroneal artery perforator flap can repair the soft tissue defect at the anterior middle-lower tibia and improve the appearance of the first donor-site.
