Reverse fasciocutaneous flap pedicled with perforator branch of anterior medial malleolus artery for soft tissue defect on the dorsal side of foot

To report the therapeutic effect of reverse fasciocutaneous flap pedicled with perforator branch of anterior medial malleolus artery for soft tissue defect on the dorsal side of foot. The perforator branch was located under the guidance of Doppler flowmeter. The flap was designed along the saphenous...

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Bibliographic Details
Published inZhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery Vol. 25; no. 3; p. 184
Main Authors Hu, Qi-Wen, Wang, Xue-Song, Xue, Feng, Sun, Wei-Fang, Shen, Wan-Xiang, Zhao, Jia-Yi
Format Journal Article
LanguageChinese
Published China 01.05.2009
Subjects
Adult
Fascia - transplantation
Female
Foot Injuries - surgery
Humans
Male
Skin Transplantation
Soft Tissue Injuries - surgery
Surgical Flaps - blood supply
Surgical Flaps - innervation
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Summary:To report the therapeutic effect of reverse fasciocutaneous flap pedicled with perforator branch of anterior medial malleolus artery for soft tissue defect on the dorsal side of foot. The perforator branch was located under the guidance of Doppler flowmeter. The flap was designed along the saphenous neurovascular axis. Then the flap was transferred reversely with the perforator branch as rotation point. From Feb. 2002 to Mar. 2008, 12 cases were treated and followed up for 6 - 18 months. All the flaps survived completely. The flap size ranged from 13.5 cm x 3.0 cm to 8 cm x 3 cm. The perforator branch located at 0.5 - 1.5 cm anterior-inferior to the medial malleolus. Both the cosmetic and functional results were satisfactory. The flap has a reliable blood supply and a flexible design. It is easily performed for soft tissue defect on the dorsal side of foot. It is a new type flap which combined neurocutaneous vascular flap with the perforator flap.
ISSN:1009-4598