Repair of defects in lower extremities with peroneal perforator-based sural neurofasciocutaneous flaps

• Published in: Zhonghua shao shang za zhi Vol. 29; no. 5; p. 432
• Main Authors: Wang, Xian-cheng, Li, Xiao-fang, Fang, Bai-rong, Lu, Qing, Yang, Li-chang, Sun, Yang, A, Mi-te, Gao, Yuan, Tang, Liang, He, Ji-yong, Wang, Yu-yin
• Format: Journal Article
• Language: Chinese
• Published: China 01.10.2013
• Subjects: Adult; Aged; Female; Humans; Lower Extremity - surgery; Male; Middle Aged; Reconstructive Surgical Procedures - methods; Soft Tissue Injuries - surgery; Sural Nerve - transplantation; Surgical Flaps - blood supply; Surgical Flaps - innervation; Young Adult
• ISSN: 1009-2587
• DOI: 10.3760/cma.j.issn.1009-2587.2013.05.006

To explore the operative technique and clinical results of using peroneal perforator-based sural neurofasciocutaneous flaps to repair skin and soft tissue defects in lower extremities. From January 2009 to March 2012, 26 patients with skin and soft tissue defects at distal region of leg and foot were hospitalized. Among them, 9 patients suffered from tendon or bone exposure at the distal region of leg after injury due to traffic accident; 4 patients suffered from skin defects in the ankle as a result of electric injury; 8 patients suffered from chronic ulcer at the distal part of leg and foot; 5 patients suffered from plantar pressure ulcer. After debridement, soft tissue defect sizes ranged from 11 cm×5 cm to 18 cm×13 cm. According to the position and size of the defects, peroneal perforator-based sural neurofasciocutaneous flaps were designed and procured to repair the skin and soft tissue defects. The size of flaps ranged from 12 cm×6 cm to 20 cm×15 cm. Flap donor sites were closed by direct suture or skin