J reconstr Microsurg 2011; 27(3): 145-150
DOI: 10.1055/s-0030-1268853
© Thieme Medical Publishers

Repair of Soft-Tissue Defect Close to the Distal Perforating Artery Using the Modified Distally Based Medial Fasciocutaneous Flap in the Distal Lower Leg

Xinzhong Shao1 , Yadong Yu1 , Xu Zhang2 , Xiaoqing Su1 , Yali Xu1 , Xiaoliang Yang1 , Li Lu1 , Li Wang1
  • 1Hand Surgery Department, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
  • 2Hand Surgery Department, The Second Hospital of Qinhuangdao, Changli, Qinhuangdao, Hebei, China
Further Information

Publication History

Publication Date:
23 November 2010 (eFirst)

ABSTRACT

In this study, we modified distally based posterior tibial artery perforator flaps for repair of soft-tissue defects close to the distal perforating artery in the distal lower leg. The flap was designed along the axial network around the saphenous nerve. Flap transfer was performed in 45 cases. The size of the defects after debridement ranged from 4 × 3 cm to 20 × 8 cm (mean, 13 × 5.5 cm). Flap size ranged from 9 × 3 cm to 25 × 10 cm (mean, 16 × 7 cm). In this series, 41 flaps survived completely. Venous congestion was not observed. At a mean follow-up of 16.5 months, all flaps matched the recipient sites in color, texture, and thickness. Donor site morbidity was minimal. The modified distally based posterior tibial artery perforator flap is a reliable and useful option for coverage of the soft-tissue defect close to the distal perforating artery in the distal lower leg.

REFERENCES

Xinzhong Shao, M.D. , Ph.D. 

Hand Surgery Department, Third Hospital of Hebei Medical University

Shijiazhuang, Hebei 050051, China

Email: shaoxinzhong@sina.com