Lateral calcaneal artery perforator-based skin flaps for coverage of lower-posterior heel defects

Wang, Sui-Jiang; Kim, Yu-Dan; Huang, Hai‐Hua; Wu, Zeyong; Lu, Ling; Hai-fang, Chen; Guo, Xiao-rui; Wei, Xiaohua

doi:10.1016/j.bjps.2014.12.027

Cited by 13 publications

(12 citation statements)

References 34 publications

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“…If the distal dissection extends beyond it, the flap becomes thin due to the presence of relatively scanty amount of subcutaneous adipose tissue. This thin part of the flap is relatively friable and unreliable, and the distal margin should therefore not cross the inferior retinaculum …”

Section: Discussionmentioning

confidence: 99%

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Availability of the lateral calcaneal region as a donor site of free flaps

2016

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Section: Discussionmentioning

confidence: 99%

“…The lateral calcaneal region has been mainly used as a donor site of local flaps for the coverage of small defects around the ankle region . Since its development in 1981, this flap has been regarded as an effective and reliable local flap for the reconstruction of soft‐tissue defects around the posterior heel and both malleoli .…”

mentioning

confidence: 99%

Availability of the lateral calcaneal region as a donor site of free flaps

2016

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“…Peroneal artery divides approximately 6 cm above the tip of the lateral malleolus into LCA and its anterior perforating branch [ 5 ]. LCA courses downward and penetrates deep fascia at a distance of 3.8 cm (range: 3–4.5 cm) above the tip of lateral malleolus [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Lateral calcaneal flap is an important surgical option for coverage of hindfoot defects. Its advantages include adequate coverage of posterior heel and lateral calcaneum [ 3 ], high success rate, low perioperative morbidity [ 4 ], and good functional results [ 5 ]. Investigation of LCA anatomy has led to various modifications of lateral calcaneal flap, including its island form [ 6 ], its adipofascial form [ 7 ], its reverse form [ 8 ], and its V-Y advancement form [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Use of Lateral Calcaneal Flap for Coverage of Hindfoot Defects: An Anatomical Appraisal

Zygouris

Michalinos

Protogerou

et al. 2015

Plastic Surgery International

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Lateral calcaneal flap is an established surgical option for coverage of lateral calcaneum and posterior heel defects. Lateral calcaneal flap vascularization and innervations are based on lateral calcaneal artery neurovascular bundle, that is, lateral calcaneal artery, small saphenous vein, and sural nerve. Anatomical research has allowed exploration of its many advantages but can also lead to its various modifications, permitting a wide variety of clinical applications. In this paper the authors report an anatomical and clinical study on lateral calcaneal artery course and lateral calcaneal flap clinical applications. Anatomic part of our study focused on lateral calcaneal artery course and optimization of surgical technique for flap harvesting. Data were used for design of lateral calcaneal flap in 5 patients. Our results were satisfactory in terms of coverage adequacy, perioperative morbidity, and functional and aesthetical outcome.

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“…Various modifications of the LCA flap have been introduced, such as the island flap (Demirseren, Gokrem, & Can, ; Gang, ; Holmes & Rayner, ), V‐Y advancement flap (Hayashi & Maruyama, ), distally based flap (Ishikawa, Isshiki, Hoshino, & Mori, ), and adipofascial flap (Hashimoto, Yoshinaga, Toda, & Nakanishi, ; Lin, Lai, Chiu, & Lin, ). The LCA perforator pedicled flap was recently introduced, (Chang et al, ; Wang et al, ), and its use as a form of free tissue transfer has been reported (Cho, Park, & Kwon, ; Ishikawa, Kyutoku, & Takeuchi, ). The use of the LCA as a recipient vessel was first reported by Chang et al based on two clinical cases (Chang, Kwon, & Minn, ).…”

Section: Introductionmentioning

confidence: 99%