Reverse peroneal artery flap for large defects of ankle and foot: A reliable reconstructive technique

Tharayil, Jose; Patil, Rahul K

doi:10.4103/0970-0358.96584

Cited by 12 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding the cause of the leg defects in our study, the majority of cases were post traumatic due to road traffic accidents (RTA) and the remaining were due to chronic ulcer. The cause of leg defects in a study by Tharayil and Patil for lower third leg, ankle and foot reconstruction was mainly car accidents [12]. And the majority of cases in another study by Dong et al, using propeller and pedicled perforator flaps to cover leg defects, were due to road traffic accidents [10].…”

Section: Discussionmentioning

confidence: 99%

Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial

Elshewy

El-Hadidy

Aziz

et al. 2022

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Background: Soft tissue defects of the ankle region continue to present a complex reconstructive challenge to the reconstructive surgeon. Many flaps have been used to rebuild these defects, and each flap has its own merits and drawbacks. This randomized controlled study was designed to compare between the peroneal artery perforator flap and the posterior tibial artery perforator flap for the ankle region reconstruction and finding out advantages and disadvantages of each flap.Methods: Between July 2020 and April 2022, 22 patients presented with soft tissue defects around the ankle with exposed vital structures as bones and tendons, who were categorized into two equal groups group 1: The peroneal artery perforator flap group (11 patients) and group 2: The posterior tibial artery perforator flap group (11 patients). Post-operative complications were the primary comparative parameters.Results: In total 22 patients with tissue defects around the ankle region were operated with either the peroneal artery perforator flap and the posterior tibial artery perforator flap 11 cases in each group, the post-operative flap complications as total flap loss and distal flap necrosis were (18.2%), (27.3%) receptively in the peroneal group and (27.3%), (36.4%) in the posterior tibial group and the mean time of flap elevation was longer in the posterior tibial group (106.82min) compared to the peroneal group with (64.55min). Conclusion:The peroneal artery perforator flap is better elevated as pedicled while the posterior tibial artery perforator flap better elevated as propeller.

show abstract

Section: Discussionmentioning

confidence: 99%

Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial

Elshewy

El-Hadidy

Aziz

et al. 2022

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…Our study evaluates the RPA flap 12 22 for its feasibility of coverage of large defects of foot and ankle and its complications. The present technique of including the peroneal artery with large internal diameter along with its perforators in the flap acts as arterial supercharging of the flap and increased venous drainage via peroneal venae comitantes.…”

Section: Discussionmentioning

confidence: 99%

“…We compared our study with the existing two studies in the literature by Tharayil and Patil 12 and Bhatt et al 13 ( Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

“…Limitation for cross leg flaps is that maintenance of odd position of legs together for 3 weeks and free flap needs expertise and infrastructure and are expensive. Reverse peroneal artery (RPA) flap 12,13 was selected to overcome the limitations associated with locoregional flaps; distant and free flaps in the reconstruction of large defects of the ankle and foot and their usefulness and complications were studied.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot

Palukuri

Ireni

Jabbar

et al. 2022

Indian J Plast Surg

View full text Add to dashboard Cite

Background Reconstruction of large foot and ankle defects is a difficult task due to less available local soft tissue and more critical from functional point of view. To overcome the limitations associated with locoregional flaps and free flaps, reverse peroneal artery (RPA) flap was selected and its usefulness in reconstruction of distal large defects of the ankle and foot and its complications were studied. Materials and Methods This is a prospective observational study done in 20 patients treated as cohort within 2 years and 8 months from January 2018 to August 2020. Large defects of foot and ankle were reconstructed with RPA flap and evaluated for its usefulness. Three cases were evaluated with computed tomography angiography postoperatively, to assess the vascular pattern. Conclusion RPA flap is a versatile and very reliable flap for the reconstruction of large and distal defects of foot and ankle. It is safely done in children and in acute trauma without any major complications.

show abstract

“…Ever since described by Ponten 17 the fasciocutaneous flaps have evolved over the period of time with several modifications such as propeller flaps for coverage of soft tissue defects in various regions of the body, especially in the leg. 17 , 18 , 19 , 20 , 21 , 22 , 23 The most commonly used fasciocutaneous flaps in the lower leg are reverse sural, lateral supramalleolar, posterior tibial and peroneal artery perforator based flaps. 18 , 19 , 20 , 21 , 22 , 23 …”

Section: Discussionmentioning

confidence: 99%

Single stage management of Gustilo type III A/B tibia fractures: Fixed with nail & covered with fasciocutaneous flap

Nambi

Salunke

Thirumalaisamy

et al. 2017

Chinese Journal of Traumatology

View full text Add to dashboard Cite

PurposeTo evaluate the role of immediate and definitive management of Gustilo type III A/B tibia fractures with intramedullary nailing and fasciocutaneous flap.MethodsFrom August 2010 to July 2012, 22 patients with Gustilo Grade III A/B tibia fractures were managed with a single stage treatment of ipsilateral fasciocutaneous flap & reamed intramedullary nailing and were included in the study. The severity of the injury was calculated with Ganga Hospital injury severity score.ResultsThe mean age of patients was 41 years and the follow-up time ranged from six months to one year. Among the 22 patients, 73% were type III B fractures with upper leg involved in 55% of them. The time interval from injury to completion of surgery was 8–14 h. The incidence of bone infection requiring secondary procedure was 9%; the major and minor soft tissue complication rate was 9% and 14% respectively. The limb salvage rate was 100%.ConclusionMultidisciplinary management of severe lower limb trauma is important and provides good outcomes. Intramedullary nailing and immediate flap fixation can achieve early bone union and good soft tissue coverage, leading to good outcomes in patient with Grade III A & B tibia fractures.

show abstract

Reverse peroneal artery flap for large defects of ankle and foot: A reliable reconstructive technique

Cited by 12 publications

References 21 publications

Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial

Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial

Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot

Single stage management of Gustilo type III A/B tibia fractures: Fixed with nail & covered with fasciocutaneous flap

Contact Info

Product

Resources

About