The clinical curative effect of repairing of the wounds surface of foot and ankle with three different kinds of posterior tibial artery perforator flaps
Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (1) : 28-32.
The clinical curative effect of repairing of the wounds surface of foot and ankle with three different kinds of posterior tibial artery perforator flaps
Objective To summarize and analyze the clinical curative effectof three different kinds of posterior tibial artery perforator flaps to repair the wounds of foot and ankle．Methods From January 2008 to June 2014，26 patients with skin necrosis and defects of foot and ankle caused by trauma were treated with three different kinds of posterior tibial artery perforator flaps，including anterograde perforator flaps in 5 cases，perforator propeller flaps in 5 cases，and reversed perforator flaps in 16 cases．Above the flaps，the maximum was 15 cm×8 cm，and the smallest was 6 cm×4 cm. Results Flaps in 22 cases survived completely， flap in one case that had necrosis which washealed by debridement and skin graft after 2 weeks，and flaps in 3 cases that had marginal necrosis at the distal part of the flaps which scar healing by debridement after one to two months．All patients were followed for 3 to 36 months (mean 10 months)， the texture and appearance of flaps in 25 cases were excellent. In the case with flap necrosis and subsequent skin graft, obvious scar hyperplasia developed. In 5 cases, the flaps were slightly bulky，but the function of the foot and ankle was not obviously influenced．Conclusion According to the characteristics of wound surface of foot and ankle，using three different kinds of posterior tibial artery perforator flapscan obtain satisfactory clinical effect in treating the wounds，which is a simple and practical method．
Posterior tibial artery / Perforator flap / Foot / Ankle / Repair
[1] Koshima I，Soeda S．Inferior epigastric artery skin flaps without reetusabdominis muscle[J]．Br J Plast Surg，1989，42（6）：645-648．
[2] 农明善，张伟敏，陈凯宁，等．腓肠神经营养血管肌皮瓣修复足踝软组织缺损[J]．中华显微外科杂志，2011，34(4)：318-319．
[3] 曲广宇，路来金．腓肠神经营养血管逆行皮瓣修复小腿及足踝部软组织缺损[J]．中华显微外科杂志，2012，35(5)：406-407．
[4] 李晓林，穆广态，康志学，等．腓肠神经营养血管皮瓣在修复儿童足踝部软组织缺损中的临床应用[J]．中华显微外科杂志，2012，35(2)：153-155．
[5] 徐达传，张世民，唐茂林，等．穿支皮瓣的发展与现状[J]．中国修复重建外科杂志，2011，25(9)：1025-1029．
[6] 章宏伟，周芳，姚刚，等．穿支皮瓣在小腿和足深度软组织缺损修复中的应用[J]．中国美容整形外科杂志，2010，21(11)：657-659．
[7] 徐达传．穿支皮瓣的研究进展[J]．遵义医学院院报，2014，37(3)：235-239．
[8] 张发惠，郑和平．足外科临床解剖学[M]．合肥：安徽科学技术出版社．2003：313-314．
[9] Ozdemir R，Kocer U，Sahin B，et al．Examination of the skin perforators of the posterior tibial artery on the leg and the ankle region and their clinical use[J]．Plast Reconstr Surg，2006，117(5)：1619-1630.
[10] Robotti E，Carminati M，Bonfirraro PP，et al．"On demand" posterior tibial artery perforator flaps: a versatile surgical procedure for reconstruction of soft tissue defects of the leg after tumor excision[J]．Ann Plast Surg，2010，64(2)：202-209．
[11]Ignatiadis IA，Georgakopoulos GD，Tsiampa VA，et al．Distal posterior tibial artery perforator flaps for the management of calcaneal and Achilles tendon injuries in diabetic and non-diabetic patients[J]．Diabet Foot Ankle，2011，2：1-4．
[12] Vaienti L，Calori GM，Leone F，et al．Posterior tibial artery perforator flaps for coverage of Achilles region defects[J]．Injury，2014，45(6)：S133-137．
[13] 沈立峰，郭峭峰，张晓文，等．穿支蒂螺旋桨皮瓣修复足踝部软组织缺损25例临床分析[J]．中华显微外科杂志，2012，35(6)：447-449．
[14] 陶友伦,张世民.穿支血管蒂螺旋桨皮瓣[J].中国临床解剖学杂志，2011，29(6):606-608.
[15]周荣，金光哲，巨积辉，等．内踝上穿支皮瓣修复足踝部皮肤缺损[J].中国临床解剖学杂志，2012，30(6)：693-695．
[16] 董凯旋，徐永清，范新宇，等．穿支血管蒂螺旋桨皮瓣的研究进展[J].中华创伤骨科杂志，2013，15(8)：714-716．
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