Reconstruction of distal lower extremities defect using the free peroneal artery perforator vessel based flap

Microsurgery ◽  
2014 ◽  
Vol 34 (8) ◽  
pp. 629-632 ◽  
Author(s):  
Omer Ozkan ◽  
Ozlenen Ozkan ◽  
Ani Cinpolat ◽  
Gamze Bektas
2017 ◽  
Vol 45 (3) ◽  
pp. 1074-1089 ◽  
Author(s):  
Lifeng Shen ◽  
Yiyang Liu ◽  
Chun Zhang ◽  
Qiaofeng Guo ◽  
Wenhua Huang ◽  
...  

Objective To describe the characteristics of the perforator vessel in the peroneal artery of the lower leg and to explore the use of perforator pedicle propeller flaps to repair soft tissue defects in the lower leg, heel and foot. Methods This retrospective study enrolled patients with soft tissue defects of the distal lower leg, heel and foot who underwent surgery using peroneal perforator-based propeller flaps. The peroneal artery perforators were identified preoperatively by colour duplex Doppler ultrasound. The flap was designed based on the preoperatively-identified perforator location, with the posterior border of the fibula employed as an axis, and the perforator vessel as the pivot point of rotation. Patients were followed-up to determine the outcomes. Results The study analysed 36 patients (mean age, 39.7 years). The majority of the soft tissue defects were on the heel (20; 55.6%). The donor-site of the flap was closed in 11 patients by direct suturing and skin grafting was undertaken in 25 patients. Postoperative complications included venous congestion (nine patients), which was managed with delayed wound coverage and bleeding therapy. All wounds were eventually cured and the flaps were cosmetically acceptable. Conclusions The peroneal perforator pedicle propeller flap is an appropriate choice to repair soft tissue defects of the distal limbs.


2014 ◽  
Vol 85 (11) ◽  
pp. 869-872 ◽  
Author(s):  
Jerry R. John ◽  
Satyaswarup Tripathy ◽  
Ramesh Kumar Sharma ◽  
Jyoshid R. Balan ◽  
Chandan Jadhav ◽  
...  

Microsurgery ◽  
2010 ◽  
Vol 30 (3) ◽  
pp. 199-206 ◽  
Author(s):  
Yi-Min Chai ◽  
Chun-Yang Wang ◽  
Bing-Fang Zeng ◽  
Zeng-Gan Chen ◽  
Pei-Hua Cai ◽  
...  

2016 ◽  
Vol 2 (8) ◽  
Author(s):  
Kenji Kawamura ◽  
Hiroshi Yajima ◽  
Shohei Omokawa ◽  
Takamasa Shimizu ◽  
Naoki Maegawa ◽  
...  

<p> </p><p><span style="font-family: Times New Roman;"> The development of a concept of perforator flap has dramatically changed the soft tissue reconstructive surgery. The surgery with perforator flaps enables to minimize donor-site morbidity by preserving important tissues including the muscle and the major vessel. The peroneal artery perforator flap is one of perforator flaps that can be harvested from the lower leg. The peroneal artery perforator flap has been widely used as a local flap for soft tissue reconstruction in the lower extremity; however, the free peroneal artery perforator flap transfer has been little reported. Utilities of the free peroneal artery perforator flap for soft tissue reconstruction of the extremities are reported, and minimally invasive flap surgery with perforator flaps is reviewed.</span></p><p> </p>


2013 ◽  
Vol 71 (2) ◽  
pp. 186-190 ◽  
Author(s):  
Kyu Tae Hwang ◽  
Sang Wha Kim ◽  
Jeong Tae Kim ◽  
Youn Hwan Kim

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