Application of composite tissue flaps pedicled with distal perforating branch of posterior tibial artery for repairing distal leg defects

• Published in: Zhongguo xiu fu chong jian wai ke za zhi Vol. 33; no. 1; p. 75
• Main Authors: Chen, Changshun, Hu, Xiang, Zheng, Qianjin, Duan, Yong, Liu, Siyi, Tao, Shengxiang
• Format: Journal Article
• Language: Chinese
• Published: China 15.01.2019
• Subjects: Adult; Aged; Female; Humans; Male; Middle Aged; Plastic Surgery Procedures; Skin Transplantation; Soft Tissue Injuries - surgery; Surgical Flaps; Tibial Arteries - surgery; Treatment Outcome; composite tissue flap; wound repair; compound tissue defect; Posterior tibial artery
• ISSN: 1002-1892
• DOI: 10.7507/1002-1892.201805093

To investigate the clinical application and effectiveness of the composite tissue flaps pedicled with perforating branch of posterior tibial artery for repairing distal leg defects. Between September 2014 and August 2017, 12 patients with skin and bone defects of distal leg were repaired with the composite tissue flaps pedicled with perforating branch of posterior tibial artery. There were 8 males and 4 females with an average age of 41.3 years (range, 25-66 years). The causes of injury included traffic accident injury in 7 cases, heavy crushing injury in 2 cases, tibial osteomyelitis with soft tissue ulcer and necrosis in 2 cases, and bone and soft tissue defect after resection of bone tumor in 1 case. Eight patients underwent primary repair, and 4 patients underwent second-stage repair. The size ranged from 6 cm×4 cm to 10 cm×7 cm in skin flap, from 4.0 cm×2.5 cm to 8.0 cm×6.0 cm in muscle flap, and from 4 cm×2 cm×2 cm to 5 cm×4 cm×4 cm in tibial bone flap. Tibial defects of the donor region were repaired b