Cross‐leg tibial posterior perforator flap

Georgescu, Alexandru Valentin; Capota, Irina; Matei, Ileana Rodica

doi:10.1002/micr.20375

Cited by 19 publications

(29 citation statements)

References 38 publications

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“…Therefore, multiple perforators could be included in the flap. 12 However, in cases where atypical flap design is required for precise adaptation, a flap based on a single perforator might be required as we observed in our case.…”

Section: Discussionmentioning

confidence: 75%

Posterior Tibial Artery Cross-Leg Perforator Flap

Keklik

Başaran

Yazar

et al. 2012

The International Journal of Lower Extremity Wounds

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Section: Discussionmentioning

confidence: 75%

Posterior Tibial Artery Cross-Leg Perforator Flap

Keklik

Başaran

Yazar

et al. 2012

The International Journal of Lower Extremity Wounds

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“…17 Hamilton first introduced the cross-leg flap in 1854, which is not considered frequently in current medical practice due to availability of other ipsilateral flaps. 18 Although the PTA-based flap had been used successfully in the past, its popularity is limited because of sacrifice of a main artery in the leg. 19 The distally based hemisoleus flap is efficacious, but it is used for treating small distal third medial tibial wounds.…”

Section: Discussionmentioning

confidence: 99%

Repair of Soft-Tissue Defect Close to the Distal Perforating Artery Using the Modified Distally Based Medial Fasciocutaneous Flap in the Distal Lower Leg

Shao¹,

Yu²,

Zhang³

et al. 2010

J reconstr Microsurg

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In this study, we modified distally based posterior tibial artery perforator flaps for repair of soft-tissue defects close to the distal perforating artery in the distal lower leg. The flap was designed along the axial network around the saphenous nerve. Flap transfer was performed in 45 cases. The size of the defects after debridement ranged from 4 × 3 cm to 20 × 8 cm (mean, 13 × 5.5 cm). Flap size ranged from 9 × 3 cm to 25 × 10 cm (mean, 16 × 7 cm). In this series, 41 flaps survived completely. Venous congestion was not observed. At a mean follow-up of 16.5 months, all flaps matched the recipient sites in color, texture, and thickness. Donor site morbidity was minimal. The modified distally based posterior tibial artery perforator flap is a reliable and useful option for coverage of the soft-tissue defect close to the distal perforating artery in the distal lower leg.

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“…Of course, our flap sacrificed a main artery but the cross-leg tibial posterior perforator flap did not. 20 The patients stayed in the hospital for 5 to 6 weeks. Low-molecular-weight heparin was used to prevent the incidence of deep venous thrombosis (DVT) in first week.…”

Section: Discussionmentioning

confidence: 99%

Distally Based Posterior Tibial Artery Cross-Bridge Flap for Reconstruction of Contralateral Leg Soft Tissue Defects

Cai²,

Fan³

et al. 2009

J reconstr Microsurg

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A cross-leg or cross-bridge free flap is frequently used for the reconstruction of leg defects in cases with no suitable recipient vessels in the vicinity of the defect. Here we report eight cases of leg reconstruction with a distally based posterior tibial artery cross-bridge flap without microvascular anastomosis technology. A distally based posterior tibial artery flap was elevated and used to reconstruct contralateral leg defects. A skin incision was made near the recipient wound to create a skin bridge, and a subcutaneous tunnel was made between the skin incision and the recipient wound for the vascular pedicle to pass over. All flaps survived completely without complications, except for a case with minor erosion in the donor site. Compared with a cross-leg or cross-bridge free flap, a distally based posterior tibial artery cross-bridge flap is reliable and versatile, leading to shorter operation duration and a lower risk of thrombosis in the vessel because microvascular anastomosis is not required.

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Cross‐leg tibial posterior perforator flap

Abstract: The cross-leg perforator flap diminishes many of the disadvantages created by the classic cross-leg flap and can be successfully used in cases in which other procedures are prohibited.

Cited by 19 publications

References 38 publications

Posterior Tibial Artery Cross-Leg Perforator Flap

Posterior Tibial Artery Cross-Leg Perforator Flap

Repair of Soft-Tissue Defect Close to the Distal Perforating Artery Using the Modified Distally Based Medial Fasciocutaneous Flap in the Distal Lower Leg

Distally Based Posterior Tibial Artery Cross-Bridge Flap for Reconstruction of Contralateral Leg Soft Tissue Defects

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