Anatomic basis and clinical application of the distally based medialis pedis flaps

Song, Dajiang; Yang, Xiaodong; Wu, Zedong; Li, Lei; Wang, Tianquan; Zheng, Heping; Hou, Chunlin

doi:10.1007/s00276-015-1532-6

Cited by 14 publications

(8 citation statements)

References 56 publications

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“…Figure 1 shows the selection process for eligible studies. Finally, 14 studies 4 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 involving 111 flaps were identified and included in the meta‐analysis (Table 1 ). The basic characteristics of patients and flaps are shown in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

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A systematic review and meta‐analysis of perforator flaps in plantar defects: Risk analysis of complications

Zhang

2021

International Wound Journal

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The purpose of this study was to identify the risk factors for complications of perforator flaps in plantar reconstruction. A systematic review was performed by searching the PubMed, Cochrane Library, MEDLINE, and EMBASE databases from their inception date up to October 2020. Only studies on reconstructing plantar defects with perforator flaps were included, and specific data were required for each patient in the included studies. A total of 14 studies involving 111 flaps were identified and included in the meta-analysis. Our meta-analysis identified two risk factors for postoperative complications: flap size over 50 cm 2 (risk ratio [RR] = 3.12; P = .02), diabetes mellitus foot (RR = 3.26; P = .03). No significant differences were found regarding heel defects (P = .34), single perforator (P = .57), age older than 60 years (P = .19), chronic aetiology (P = .13), trauma (P = .33), tumour resection (P = .60), ulcer (P = .84), and burn (P = .76). Although more high-quality studies with adequate sample sizes are needed, this meta-analysis indicated that flap size over 50 cm 2 and diabetes mellitus foot were significant risk factors for postoperative complications of perforator flaps in plantar reconstruction.

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Section: Resultsmentioning

confidence: 99%

“…The quality scores of the included studies are presented in Table 1 . One study 19 was considered to be low quality, and the others 4 , 17 , 18 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 were considered to be high quality.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta‐analysis of perforator flaps in plantar defects: Risk analysis of complications

Zhang

2021

International Wound Journal

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“…Preliminary research has provided detailed descriptions of the vasculature of the medial and lateral aspect of the foot (i.e., the anatomical basis for harvest of flaps from the vasculature) [22,25,28]. Moreover, research has been conducted on the anatomical basis of the reverse lateral plantar artery perforator flap design [11].…”

Section: Discussionmentioning

confidence: 99%

“…A systematic study has been conducted on anatomic theory on distal-based venocutaneous flap on the medial plantar artery of the hallux with medial plantar vein and nutrient vessels [22,25,28]. The focus was on the prevalence of the perforator vessels of the lateral plantar artery of the hallux and the vascular connections among the perforator and nutrient vessels of the medial plantar cutaneous nerve and medial plantar vein, which allowed medium-sized distal-based lateral plantar island flaps to be raised.…”

Section: Introductionmentioning

confidence: 99%

Anatomical basis and design of the distally based lateral dorsal cutaneous neuro-lateral plantar venofasciocutaneous flap pedicled with the lateral plantar artery perforator of the fifth metatarsal bone: a cadaveric dissection

et al. 2016

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A reliable large- or medium-sized neuro-venocutaneous flap with lateral dorsal cutaneous nerve, lateral plantar vein, and nutrient vessels can be raised using only the perforator of the lateral plantar artery of the fifth metatarsal bone, which is thin, is in the immediate vicinity of the forefoot, and has a reliable retrograde blood supply. This flap can be considered an alternative means to reconstruct soft-tissue defects of the forefoot.

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“…Spezifische Komplikationen nach Rekonstruktion der gewichtstragenden Regionen am Fuß sind das Auftreten von Ulzerationen, Scherkräften [9] und Hyperkeratosenam einheilendenWundrand des Instep-Lappens [46]. Eine Metaanalyse nach Rekonstruktion der Regio calcanea berichtet Ulzerationsraten von 17 % für fasziokutane und 26 % für Muskellappen, die Revisionsrate von fasziokutanen Lappen betrug 23 % und von Muskellappen 31 %, eine spezielle Schuhversorgung war in 35 % der Fälle nach fasziokutanen Lappenplastiken und in 56 % der Fälle nach Muskellappen erforderlich [9].…”

Section: Komplikationenunclassified

Systematik der plastischen Defektrekonstruktion am Fuß

Rein

Kremer

2021

Unfallchirurg

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In diesem Beitrag-Behandlungsziele -Kriterien der Weichteilrekonstruktion -Wahl des operativen Verfahrens -Vaskularisation des Fußes -Rekonstruktionen Regio dorsalis pedis • Regio calcanea • Regiones malleolares -Komplexe Fußtraumata -Postoperative Nachbehandlung -Komplikationen QR-Code scannen & Beitrag online lesen Zusammenfassung Hintergrund: Weichteilverletzungen am Fuß nach Traumata sind sehr häufig und bedingen eine individuelle Rekonstruktion. Ziel der Arbeit: Es werden Empfehlungen zur Therapie von Weichteilverletzungen des Fußes formuliert. Material und Methoden: Zunächst werden die Kriterien, postoperative Nachbehandlung und Komplikationen der Hautweichteilrekonstruktion des Fußes erörtert, bevor die therapeutische Strategie entsprechend der Lokalisation erläutert und mit exemplarischen Beispielen aus dem eigenen Patientengut verdeutlicht wird. Ergebnisse: Entsprechend der Lokalisation, der dreidimensionalen Ausdehnung des Defekts, dem Anforderungsprofil des Patienten und den vorhandenen Begleiterkrankungen wird das Vorgehen anhand standardisierter rekonstruktiver Prinzipien geplant und den individuellen Patientenfaktoren angepasst. Lokale und gestielte Lappenplastiken können am Fuß eingesetzt werden, haben aber eine vergleichsweise erhöhte Komplikationsrate, sodass nach entsprechender präoperativer Abklärung der Gefäßsituation am Fuß häufig freie Lappenplastiken angewandt werden, die aufgrund ihrer Versatilität sehr individuell an die lokalen Anforderungen und die Patientenbedürfnisse adaptierfähig sind. Freie Lappenplastiken erfordern postoperativ ein Lappentraining. Schlussfolgerung: Eine präzise präoperative Planung der Rekonstruktion und Abklärung der Vaskularisation bilden die Grundlagen für eine erfolgreiche Weichteilrekonstruktion des Fußes, deren Ziele das Erreichen von stabilen Hautweichteilen, einer belastbaren Fußsohle ohne Scherkraftwirkung, das Ermöglichen der Schuhversorgung und der Erhalt der Sensibilität sind.

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Anatomic basis and clinical application of the distally based medialis pedis flaps

Cited by 14 publications

References 56 publications

A systematic review and meta‐analysis of perforator flaps in plantar defects: Risk analysis of complications

A systematic review and meta‐analysis of perforator flaps in plantar defects: Risk analysis of complications

Anatomical basis and design of the distally based lateral dorsal cutaneous neuro-lateral plantar venofasciocutaneous flap pedicled with the lateral plantar artery perforator of the fifth metatarsal bone: a cadaveric dissection

Systematik der plastischen Defektrekonstruktion am Fuß

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