Reconstruction of limb wounds in children with a combined perforator flap by dual perforators of lateral circumflex femoral artery and superficial circumflex iliac artery
10.3760/cma.j.cn441206-20240129-00031
- VernacularTitle:以旋股外侧动脉穿支和旋髂浅动脉穿支供血的联体穿支皮瓣修复儿童四肢创面
- Author:
Jian ZHOU
1
;
Yucen ZHENG
1
;
Wei CHEN
1
;
Shusen CHANG
1
;
Zairong WEI
1
;
Kaiyu NIE
1
Author Information
1. 遵义医科大学附属医院烧伤整形外科，遵义 563003
- Publication Type:Journal Article
- Keywords:
Perforator of lateral circumflex femoral artery;
Perforator of superficial circumflex iliac artery;
Combined perforator flap;
Children;
Limbs;
Microsurgica
- From:
Chinese Journal of Microsurgery
2024;47(6):620-624
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and clinical effect of a combined perforator flap that was perfused by dual perforators of lateral circumflex femoral artery and superficial circumflex iliac artery in reconstruction of limb wounds in children.Methods:A retrospective study was conducted on the childre treated in the Department of Plastic Surgery and Burms, the Affiliated Hospital of Zunyi Medical University from February 2019 to June 2023. Limb wounds of 6 children were treated by combined perforator flaps that carried dual perforators of lateral circumflex femoral artery and superficial circumilex iliac artery. The children were 4 boys and 2 girls of 2-12 years with an average of 6.8 years. The sizes of defect weres 19.0 cm×5.0 cm-28.0 cm×6.0 cm and all were reconstructed with the combined perforator flaps sized 20.0 cm×6.0 cm-30.0 cm×7.0 cm. Proximal vessels of the limb defect were end-to-side anastomosed with the pedicle vessels carried by the flap, and distal vessels of the limb defect were end-to-side or end-to-end anastomosed with the pedicle vessels carried by the flap. The flap recipient sites were sutured in stage I surgery. After the surgery, regular follow-ups were carried out at outpatient clinics, and via telephone and WeChat reviews. Wound healing, flap survival and functional recovery were observed.Results:All 6 flaps survived successfully. One donor site had a partial rupture, and healed after stage II debridement and sutures. The remaining 5 donor sites all achieved a stage I healing. All children were entered the postoperative follow-up for 6-16 months, with an average of 13.7 months. All flaps survived well without obvious swelling, and in satisfactory appearance without complication such as a rupture or an infection. Linear scars were left in the donor sites with soft edges without obvious contractures. Limb functions were not affected.Conclusion:The combined perforator flap perfused by dual perforators of the lateral circumflex femoral artery and the superficial circumflex iliac artery has an extended length, and a reliable blood supply to the flap. It can cover a long and wide defect in a single stage of surgery with a good clinical effect.
