Hyperbaric Oxygenation Treatment Combined with Peroneal Artery Perforator Flap on the Soft Tissue Defects of the Lower Leg at High Altitude

2019 ◽  
Vol 08 (03) ◽  
pp. 59-63
Author(s):  
红让 董
Keyword(s):  
Soft Tissue ◽  
High Altitude ◽  
Hyperbaric Oxygenation ◽  
Perforator Flap ◽  
Lower Leg ◽  
Peroneal Artery ◽  
Soft Tissue Defects ◽  
Artery Perforator ◽  
Tissue Defects

scholarly journals Peroneal perforator pedicle propeller flap for lower leg soft tissue defect reconstruction: Clinical applications and treatment of venous congestion

2017 ◽  
Vol 45 (3) ◽  
pp. 1074-1089 ◽  
Author(s):  
Lifeng Shen ◽  
Yiyang Liu ◽  
Chun Zhang ◽  
Qiaofeng Guo ◽  
Wenhua Huang ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Donor Site ◽  
Lower Leg ◽  
Soft Tissue Defect ◽  
Venous Congestion ◽  
Peroneal Artery ◽  
Soft Tissue Defects ◽  
Propeller Flap ◽  
Perforator Vessel ◽  
Tissue Defects

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.

The Effect of Medial Sural Artery Perforator Flap on Reconstruction of Soft Tissue Defects

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Qiang Xu ◽  
Shou-Cheng Yin ◽  
Xing-Zhou Su ◽  
Si-Min Wang ◽  
Yi-Hao Liu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Perforator Flap ◽  
Soft Tissue Defects ◽  
Sural Artery ◽  
Artery Perforator ◽  
Tissue Defects

scholarly journals Propeller perforator flaps from the dorsal digital artery perforator chain for repairing soft tissue defects of the finger

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Haoliang Hu ◽  
Hong Chen ◽  
Jinjiong Hong ◽  
Weisheng Mao ◽  
Mintao Tian ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Perforator Flap ◽  
Width Ratio ◽  
Digital Artery ◽  
Soft Tissue Defects ◽  
Clinical Trial Registry ◽  
Perforator Flaps ◽  
And Function ◽  
Artery Perforator ◽  
Tissue Defects

Abstract Background When restoring the appearance and function of the fingers, hand surgeons face a challenge in choosing a suitable surgical method to repair finger skin defects. Methods In this study, we designed a long elliptical flap based on a propeller perforator flap and located slightly toward the dorsal lateral aspect of the finger. The flap with a pedicle consisting of the dorsal perforator of the distal digital artery and dorsal digital artery perforator chain is rotated to cover a large wound on the distal end. From December 2014 to December 2017, 10 patients with finger soft tissue defects were treated with the propeller perforator flap described in this study. Results All flaps survived after surgery, and 2 had a transient venous congestion. After a follow-up period of 3 to 12 months, the static two-point discrimination of the flap was 8.06 ± 1.75 mm, and the range of motion was 149.4 ± 12.9°. This designed flap can span several angiosomes supplied by the perforators. Due to the inclusion of a vessel chain between the dorsal digital artery perforators, the length-to-width ratio of the flap can be up to 3:1. Conclusions This technique increases the size of flap that can be harvested safely while retaining a reliable blood supply. The present study describes a new method for repairing soft tissue defects of the finger by using the technique of propeller perforator flaps based on dorsal digital artery perforator chains. Trial registration The registration number of this study is ChiCTR1800014588; it has been retrospectively registered with Chinese Clinical Trial Registry (chictr.org.cn), 18/11/2019.

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