Peroneal perforator-plus pedicled sural neurofasciocutaneous flap for foot and ankle reconstruction
HUO Xing-chen, LIU Hui-ren, GAO Shuang-quan, MU fu-lin，YU Zhan-yong, ZHANG Yan-mao, WANG Li, LIU Jian-hua, GAO Shuo
Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (6) : 681-683.
Peroneal perforator-plus pedicled sural neurofasciocutaneous flap for foot and ankle reconstruction
Objective To investigate the clinical effects of peroneal perforator-plus pedicled sural neurofasciocutaneous flapfor retrograde repair of ankle and foot soft-tissue defects. Methods 31 patients with soft-tissue defects in ankle and foot were treated by peroneal perforator-plus pedicled sural neurofasciocutaneous flaps from November 2011 to March 2014. The defects were in anterior ankle areas (12 cases), lateral malleolus(10 cases) and heel(9 cases). The wound area was 4.5 cm×4.0 cm～18.0 cm×10.0 cm.The flap area was 5.0 cm×4.5 cm～21.0 cm×12.0 cm. The donor areas are closed directly or in split-thickness skin grafts. Results 29 of total 31 cases healed by first intention, and 2 cases with some distal superficial skin necrosis healed after dressing change. After an averagefollow-up of 19 months, all wounds healed well without any recurrence, and there was no ulceration in the weight-bearing area of the flap. The color and texture of the flaps were good and the shape of the pedicle was satisfactory. All patients could wear shoes and ambulate well. Conclusion The blood supply of this flap is reliable without sacrifice of major arteries，and the flap survival rate is not reduced. This flap is an ideal choice for repair of tissue defectsover foot and ankle.
Peroneal artery perforator； Sural flap / Foot and ankle / Soft tissue / Reconstruction
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