Anatomy basis and clinical application of the flap based on the perforator of plantar arch

VernacularTitle:足底动脉弓足背穿支皮瓣解剖与临床应用
Author: Jian LIN ¹ ; Heping ZHENG ; Tianhao ZHANG ; Zhijiang WANG ; Deqing HU ; Hua LU
Author Information

1. 202150,上海交通大学医学院附属新华医院(崇明)骨科
Keywords: Foot; Perforator flap; Microsurgery
From: Chinese Journal of Plastic Surgery 2016;32(6):413-416
CountryChina
Language:Chinese
Abstract: Objective To report the anatomy basis and clinical application of the flap based on the perforator of plantar arch.Methods From December 2013 to June 2016,25 cadaveric feet which were injected with a mixture of red gelatin were used to observe:the origins,courses,branches,distributions of the dorsal perforators flap based on the plantar arch;the anastomoses between the back perforators of plantar arch and rete arteriosum of dorsale pedis.Based on the anatomy research,11 cases with soft tissue defect at forefoot were treated with the perforator flaps.Results 11 flaps survived completely with primary healing.The flaps were followed up for 2-36 months with good match of texture and color.Conclusions The flap based on the perforator of plantar arch has constant and rich blood supply.The technique is easily performed and can be used as an optional flap without major vessel for defect at forefoot.