Super-thin anterolateral thigh flap for reconstruction of the medial plantar artery perforator flap donor site
Background The medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is closed using a skin graft, which is associated with several complications, including walking disability. This study aimed to examine our exp...
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Published in | Journal of orthopaedic surgery (Hong Kong) Vol. 31; no. 2; p. 10225536231181706 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
London, England
SAGE Publications
01.05.2023
Sage Publications Ltd SAGE Publishing |
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Abstract | Background
The medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is closed using a skin graft, which is associated with several complications, including walking disability. This study aimed to examine our experience with using a super-thin anterolateral thigh (ALT) flap to reconstruct the MPAP flap donor site.
Methods
We examined 10 patients who underwent reconstruction of the MPAP flap donor site using a super-thin ALT flap between August 2019 and March 2021. The vascular pedicle was anastomosed to the proximal end of the medial plantar vessels or the end of the posterior tibial vessels.
Results
All reconstruction flaps survived and all patients were satisfied with the aesthetic appearance. No blisters, ulcerations, hyperpigmentation, or contractures occurred. All patients gained protective sensation in the super-thin ALT flap. The average visual analog scale score for the aesthetic appearance of the reconstructed foot was 8.5 ± 0.7 (range, 8–10). All patients were able to ambulate without aids and could wear regular shoes. The average revised Foot Function Index score was 26.4 ± 4.1 (range, 22–34).
Conclusion
Reconstruction of the MPAP flap donor site using a super-thin ALT flap is reliable and provides satisfactory functional recovery, aesthetic appearance, and protective sensation while minimizing postoperative morbidity. |
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AbstractList | BACKGROUNDThe medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is closed using a skin graft, which is associated with several complications, including walking disability. This study aimed to examine our experience with using a super-thin anterolateral thigh (ALT) flap to reconstruct the MPAP flap donor site. METHODSWe examined 10 patients who underwent reconstruction of the MPAP flap donor site using a super-thin ALT flap between August 2019 and March 2021. The vascular pedicle was anastomosed to the proximal end of the medial plantar vessels or the end of the posterior tibial vessels. RESULTSAll reconstruction flaps survived and all patients were satisfied with the aesthetic appearance. No blisters, ulcerations, hyperpigmentation, or contractures occurred. All patients gained protective sensation in the super-thin ALT flap. The average visual analog scale score for the aesthetic appearance of the reconstructed foot was 8.5 ± 0.7 (range, 8-10). All patients were able to ambulate without aids and could wear regular shoes. The average revised Foot Function Index score was 26.4 ± 4.1 (range, 22-34). CONCLUSIONReconstruction of the MPAP flap donor site using a super-thin ALT flap is reliable and provides satisfactory functional recovery, aesthetic appearance, and protective sensation while minimizing postoperative morbidity. Background The medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is closed using a skin graft, which is associated with several complications, including walking disability. This study aimed to examine our experience with using a super-thin anterolateral thigh (ALT) flap to reconstruct the MPAP flap donor site. Methods We examined 10 patients who underwent reconstruction of the MPAP flap donor site using a super-thin ALT flap between August 2019 and March 2021. The vascular pedicle was anastomosed to the proximal end of the medial plantar vessels or the end of the posterior tibial vessels. Results All reconstruction flaps survived and all patients were satisfied with the aesthetic appearance. No blisters, ulcerations, hyperpigmentation, or contractures occurred. All patients gained protective sensation in the super-thin ALT flap. The average visual analog scale score for the aesthetic appearance of the reconstructed foot was 8.5 ± 0.7 (range, 8–10). All patients were able to ambulate without aids and could wear regular shoes. The average revised Foot Function Index score was 26.4 ± 4.1 (range, 22–34). Conclusion Reconstruction of the MPAP flap donor site using a super-thin ALT flap is reliable and provides satisfactory functional recovery, aesthetic appearance, and protective sensation while minimizing postoperative morbidity. Background The medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is closed using a skin graft, which is associated with several complications, including walking disability. This study aimed to examine our experience with using a super-thin anterolateral thigh (ALT) flap to reconstruct the MPAP flap donor site. Methods We examined 10 patients who underwent reconstruction of the MPAP flap donor site using a super-thin ALT flap between August 2019 and March 2021. The vascular pedicle was anastomosed to the proximal end of the medial plantar vessels or the end of the posterior tibial vessels. Results All reconstruction flaps survived and all patients were satisfied with the aesthetic appearance. No blisters, ulcerations, hyperpigmentation, or contractures occurred. All patients gained protective sensation in the super-thin ALT flap. The average visual analog scale score for the aesthetic appearance of the reconstructed foot was 8.5 ± 0.7 (range, 8–10). All patients were able to ambulate without aids and could wear regular shoes. The average revised Foot Function Index score was 26.4 ± 4.1 (range, 22–34). Conclusion Reconstruction of the MPAP flap donor site using a super-thin ALT flap is reliable and provides satisfactory functional recovery, aesthetic appearance, and protective sensation while minimizing postoperative morbidity. The medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is closed using a skin graft, which is associated with several complications, including walking disability. This study aimed to examine our experience with using a super-thin anterolateral thigh (ALT) flap to reconstruct the MPAP flap donor site. We examined 10 patients who underwent reconstruction of the MPAP flap donor site using a super-thin ALT flap between August 2019 and March 2021. The vascular pedicle was anastomosed to the proximal end of the medial plantar vessels or the end of the posterior tibial vessels. All reconstruction flaps survived and all patients were satisfied with the aesthetic appearance. No blisters, ulcerations, hyperpigmentation, or contractures occurred. All patients gained protective sensation in the super-thin ALT flap. The average visual analog scale score for the aesthetic appearance of the reconstructed foot was 8.5 ± 0.7 (range, 8-10). All patients were able to ambulate without aids and could wear regular shoes. The average revised Foot Function Index score was 26.4 ± 4.1 (range, 22-34). Reconstruction of the MPAP flap donor site using a super-thin ALT flap is reliable and provides satisfactory functional recovery, aesthetic appearance, and protective sensation while minimizing postoperative morbidity. |
Author | Xu, Tong-long Zhang, Xing-fei Xu, Ya-jun Yang, Wen-bo Zhou, Jian-dong |
Author_xml | – sequence: 1 givenname: Jian-dong surname: Zhou fullname: Zhou, Jian-dong organization: Department of Orthopaedic Surgery – sequence: 2 givenname: Xing-fei surname: Zhang fullname: Zhang, Xing-fei organization: Department of Orthopaedic Surgery – sequence: 3 givenname: Tong-long surname: Xu fullname: Xu, Tong-long email: xuyajun8388@sina.com organization: Department of Orthopaedic Surgery – sequence: 4 givenname: Wen-bo orcidid: 0000-0002-7956-5025 surname: Yang fullname: Yang, Wen-bo organization: Department of Orthopaedic Surgery – sequence: 5 givenname: Ya-jun orcidid: 0000-0002-4086-5274 surname: Xu fullname: Xu, Ya-jun email: xuyajun8388@sina.com organization: Department of Orthopaedic Surgery |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37268597$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1002/micr.30583 10.1002/micr.22177 10.4103/ijc.IJC_197_17 10.1097/PRS.0000000000000127 10.1002/micr.20327 10.1097/00000637-200108000-00004 10.1097/GOX.0000000000001991 10.1016/j.bjps.2010.04.013 10.1055/s-0037-1601422 10.1053/j.jfas.2013.12.012 10.1002/micr.30321 10.1055/s-0034-1369807 10.1053/j.jfas.2012.04.017 10.12968/jowc.2022.31.2.130 10.1055/s-0037-1607426 10.1053/j.jfas.2012.06.003 10.1053/j.jfas.2015.04.019 10.1053/j.jfas.2018.03.027 10.1097/SAP.0000000000002373 10.1002/micr.30681 10.1097/PRS.0b013e3181fed76d 10.1097/00006534-200203000-00032 10.1016/j.fas.2014.09.009 10.1097/00000637-198708000-00001 10.1097/SAP.0b013e3182367c2f 10.1097/00006534-200002000-00015 10.1097/PRS.0000000000003975 |
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Keywords | super-thin flap perforator flap plantar reconstruction Anterolateral thigh flap medial plantar artery flap |
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Snippet | Background
The medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is... The medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is closed... Background The medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is... BACKGROUNDThe medial plantar artery perforator (MPAP) flap is widely used to reconstruct the weight-bearing area of the foot. Traditionally, its donor site is... |
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SubjectTerms | Arteries - surgery Humans Perforator Flap - blood supply Plastic Surgery Procedures Skin Transplantation Thigh - surgery Treatment Outcome |
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Title | Super-thin anterolateral thigh flap for reconstruction of the medial plantar artery perforator flap donor site |
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