Sural flap for coverage of a soft-tissue defect of a leg with an occluded fibular artery: A case report

Kermarrec, Gwénolé; Masquelet, Alain-Charles

doi:10.1016/j.bjps.2013.12.022

Cited by 2 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Between January 2013 and December 2015, patients who suffered from soft-tissue defects over the ankle and heel regions with following conditions were included in the study: [1] Skin defects were present on the dorsum of the foot with exposed bones and tendons, which could not be treated with a free skin graft; [2] both the recipient and donor sites were amenable to the principles of perforator flap application. Patients with injured anterior tibial vessels, traumatic anterior tibial skin defects, uncontrolled diabetes mellitus, or poor general conditions and patients who did not want to participate in the procedures were excluded from the study.…”

Section: Patients and Proceduresmentioning

confidence: 99%

“…During the past few years, the treatment of ankle and heel soft-tissue defects has evolved as a result of the introduction of new models of local flaps. Since last century, our anatomical knowledge has greatly advanced regarding the cutaneous, subcutaneous, and intramuscular vessels that originate from the major vascular axis of the limbs [1][2][3][4][5][6][7]. Several types of local flaps have been developed and utilized commonly in clinical practice [8][9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Modified Anterior Tibial Artery Perforator‐Pedicled Propeller Flap for Soft‐Tissue Coverage of the Ankle and Heel

et al. 2020

View full text Add to dashboard Cite

Background The ankle and heel are challenging regions to reconstruct functionally. Here, we explored the feasibility and clinical outcomes of a modified anterior tibial artery perforator‐pedicled propeller flap for the repair of soft‐tissue defects of the ankle and heel. Patients and methods Between January 2013 and December 2015, 12 patients with soft‐tissue defects of the ankle and/or heel underwent reconstructive surgery that included our flap technique. The flaps measured 20 × 8 cm to 7 × 4 cm. A hand‐held Doppler was used to identify a proper constant perforator in the distal ankle. In each case, the base of the flap was well preserved. The flap was transposed (180° rotation) to reach and cover the defect. Results The average follow‐up time was 13 months (10–28 months). We observed good texture matches and contour in all of the flaps. All patients could walk and wear normal footwear. All but one flap survived completely without complications. Partial loss was observed in one patient, and the necrotic region was healed with secondary intention. Conclusion Our modified anterior tibial artery free‐style perforator‐pedicled propeller flap provides a novel option for functional ankle and heel reconstruction. Level of Evidence Level IV.

show abstract

Section: Patients and Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modified Anterior Tibial Artery Perforator‐Pedicled Propeller Flap for Soft‐Tissue Coverage of the Ankle and Heel

et al. 2020

View full text Add to dashboard Cite

show abstract

Clinical Results of Anterolateral Thigh Perforator Flap for Soft Tissue Reconstruction of the Foot and Ankle

Han

Hong

Lee

et al. 2017

J Korean Orthop Assoc

View full text Add to dashboard Cite

Purpose: Soft tissue reconstruction of a defect around the foot and ankle is a particularly challenging procedure due to the anatomical and functional characteristics of this area. Hence, only a limited number of treatment options are available. Moreover, if patients wish to avoid additional scars on the ipsilateral lower leg for cosmetic reasons, even fewer options are available for treatment. The authors used an anterolateral thigh perforator flap for soft tissue defects in this area, when other surgical options were inadequate. The aim of this study was to report the clinical results and the efficacy of this procedure. Materials and Methods: Sixteen cases of soft tissue defects around the foot and ankle were included. Participants included 12 male and 4 female subjects, and the mean age was 34 years. The most common cause of defect was acute trauma, and the average follow-up period was 33 months. Flap survival time, surgical complications, and ambulation status at the final follow-up stage were evaluated. Results: All 16 flaps successfully survived, except for one case with partial flap necrosis that was thought to be due to weight bearing earlier than scheduled. All patients were able to walk independently without any aid at the final follow-up stage. No patients showed other significant surgical complications. Conclusion: The anterolateral thigh perforator flap is a good alternative for soft tissue defects of the foot and ankle, when other options are not applicable. This study also demonstrated that surgery using an anterolateral thigh perforator flap is safe and highly reliable.

show abstract

Sural flap for coverage of a soft-tissue defect of a leg with an occluded fibular artery: A case report

Cited by 2 publications

References 9 publications

Modified Anterior Tibial Artery Perforator‐Pedicled Propeller Flap for Soft‐Tissue Coverage of the Ankle and Heel

Modified Anterior Tibial Artery Perforator‐Pedicled Propeller Flap for Soft‐Tissue Coverage of the Ankle and Heel

Clinical Results of Anterolateral Thigh Perforator Flap for Soft Tissue Reconstruction of the Foot and Ankle

Contact Info

Product

Resources

About