Distally based sural flap for ankle and foot coverage in children

Grandjean, Amaury; Romaña, C.; Fitoussi, Franck

doi:10.1016/j.otsr.2015.10.010

Cited by 24 publications

(19 citation statements)

References 17 publications

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“…Chen et al suggested that the proximity limitation of the ap should not be beyond 6 cm from the popliteal crease [2]. Some authors have reported the highest location of the ap being 1-2 cm or 1.5-4 cm away from the popliteal crease [25,33]. However, other authors have reported using aps with the proximal border near the popliteal crease in repairing the defects of the forefoot [14,34].…”

Section: Discussionmentioning

confidence: 99%

Distally based peroneal artery perforator-plus fasciocutaneous flap in the reconstruction of soft tissue defects over the distal forefoot: a retrospectively analyzed clinical trial

Peng

Luo

et al. 2020

Preprint

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Background: Distally based peroneal artery perforator-plus fasciocutaneous (DPAPF) flaps are widely used for reconstructing soft-tissue defects of the lower extremity. However, large studies on this topic, especially DPAPF flaps use for reconstruction of defects over the distal forefoot, are scarce. Herein, we describe our experience on the reconstruction of defects over the distal forefoot using DPAPF flaps.Methods: Between February 2005 and August 2019, 56 DPAPF flaps were used to reconstruct soft-tissue defects in the forefoot. The ankles were fixed in dorsiflexion using a Kirschner wire. Patient factors and flap factors were compared between the “survival” and “partial necrosis” groups.Results: Overall, 47 flaps had survived completely in one stage. Partial necrosis developed in nine flaps, with only one remnant defect covered using a local flap. The distance between the pivot point and recipient area was reduced by fixing the ankles in dorsiflexion. The partial necrosis rate of the DPAPF flaps with the top edge located in the 8th zone was significantly lower than that in the 9th zone (p < 0.05).Conclusions: In combination with fixing of the ankles in dorsiflexion using a Kirschner wire, DPAPF flap is a good option in reconstructing a defect over the distal forefoot.

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Section: Discussionmentioning

confidence: 99%

Distally based peroneal artery perforator-plus fasciocutaneous flap in the reconstruction of soft tissue defects over the distal forefoot: a retrospectively analyzed clinical trial

Peng

Luo

et al. 2020

Preprint

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“…Various modifications of the sural and peroneusbrevis flaps have been described to optimize the outcome and minimize complications [63][64][65][66][67] . The distally based peroneus brevis flap has been described as an efficient tool for the reconstruction of the distal lower leg, ankle, Achilles tendon and proximal foot region [4,65,[68][69][70][71][72][73] . This flap can be indicated to cover exposed vessels, bones, tendons, and internal fixation hardware.…”

Section: Discussionmentioning

confidence: 99%

When free flaps are not the first choice: is the distally based peroneus brevis still an option for foot and ankle reconstruction in the era of microsurgery?

Horch¹,

Ludolph²,

Schmitz³

et al. 2018

PAR

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“…Grandjean et al 5 have successfully used distally based sural artery flap in children with an age range of 1.5–17 years, with an average of 8.8 years. In our study, the age groups vary from 6 to 68 years.…”

Section: Discussionmentioning

confidence: 99%

“…Although this flap provides a wide arc of rotation, a rapid coverage, and easy and quick elevation, the main disadvantages are the congestion due to poor venous drainage (if no small saphenous vein microanastomosis supercharging is done), sensory loss over the lateral aspect of the foot, 3 tension to close the donor site, 4 partial or total necrosis 5 due to the 180 degrees of rotation, the tunnelization, and the insufficient blood supply of the median sural arteries for the upper half of the posterior calf (if no gastrocnemius branch perforators are included), especially on medial malleolus (greater arc of rotation of flap and larger defects). 2 …”

Section: Introductionmentioning

confidence: 99%

Distally Based Sural Artery Peroneus Flap (DBSPF) for Foot and Ankle Reconstruction

Ebrahiem

Manas

Vinagre

2017

Plastic and Reconstructive Surgery - Global Open

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Background:Reconstruction of soft-tissue defects in lower third of leg, ankle, and foot has been a challenge and reconstructive surgeons have been trying to innovate different flaps. To solve this issue, we propose a distally based sural artery peroneus flap (DBSPF) in which we include superficial portion of the peroneus brevis muscle and its blood supply with the peroneal artery distally. The aim of this study was to evaluate the functional outcome and its usefulness over conventional distal sural artery flap or other local options available.Methods:This is a case series of 20 patients that include a DBSPF that was done for defects around ankle, distal leg, and foot caused by trauma or tumor ablation within the period of June 2013 to March 2015 in Kasralainy Hospital, Cairo. All cases were evaluated according to flap vascularity, distal reach of flap, aesthetic outcome, and donor-site morbidity.Results:All flaps survived. One flap developed venous congestion that subsided spontaneously with limb elevation. The flap dimension ranged from 42 cm to 442 cm2, and it reached the midfoot easily. The pivot point was kept as low as 2–6 cm from lateral malleolus according to location of perforators. The ankle stability was maintained, and the desired aesthetic outcome was achieved.Conclusions:The DBSPF is an addition to the armamentarium in plastic surgery for defects around ankle, distal leg, and foot. It is an easy and swift procedure as compared with complex microsurgical reconstruction.

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Distally based sural flap for ankle and foot coverage in children

Abstract: IV, retrospective case-series study.

Cited by 24 publications

References 17 publications

Distally based peroneal artery perforator-plus fasciocutaneous flap in the reconstruction of soft tissue defects over the distal forefoot: a retrospectively analyzed clinical trial

Distally based peroneal artery perforator-plus fasciocutaneous flap in the reconstruction of soft tissue defects over the distal forefoot: a retrospectively analyzed clinical trial

When free flaps are not the first choice: is the distally based peroneus brevis still an option for foot and ankle reconstruction in the era of microsurgery?

Distally Based Sural Artery Peroneus Flap (DBSPF) for Foot and Ankle Reconstruction

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