The Distally Based Posterior Tibial Artery Flap

Perry, William C.; Masadeh, Suhail; Thioné, Alessandro

doi:10.1016/j.cpm.2020.05.003

Cited by 1 publication

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on anatomical characteristics above, posterior tibial artery associated aps have proved their usefulness in reconstructions throughout the body. A pedicled posterior tibial artery ap was rst reported in 1985 for the reconstruction of defects of the lower extremities 23 and most studies used it as a pedicled ap for proximal tissue defect repair in orthopedic problems 24,25 . The medial leg offers a broad area for harvest of a fasciocutaneous ap with adequate reach tissues for coverage of the inferior heel, achilles tendon, medial and anterior ankle, and dorsal midfoot wounds 24 .…”

Section: Discussionmentioning

confidence: 99%

“…A pedicled posterior tibial artery ap was rst reported in 1985 for the reconstruction of defects of the lower extremities 23 and most studies used it as a pedicled ap for proximal tissue defect repair in orthopedic problems 24,25 . The medial leg offers a broad area for harvest of a fasciocutaneous ap with adequate reach tissues for coverage of the inferior heel, achilles tendon, medial and anterior ankle, and dorsal midfoot wounds 24 . In 2008, Dr. Raymond W. M. Ng reported the rst series of PTAFs for defects in head and neck 6 , which has been utilized more in recent years 3,[7][8][9][10][11][12][13][14][15][16]26,27 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Free posterior tibial artery perforator flapin head and neck reconstruction after tumor expiration

Shi

Deng

et al. 2022

Preprint

View full text Add to dashboard Cite

Objectives: The purpose of this study was to examine the anatomical features, clinical applications, and complications of the free posterior tibial flap in head and neck reconstruction.Methods： Patients treated with free posterior tibial artery perforator flap in head and neck surgery were retrospectively viewed. Results： A total of 55 patients underwent reconstruction with a free posterior tibial artery perforator flap. Most of the patients had carcinoma of pharynx, trachea, oral and maxillofacial region. The flap dimension ranged from 7.5 cm2 to 108 cm2. The mean thickness of the flap was 1cm. The average length of the vascular pedicle is about 10 cm. Functional recovery of reconstruction area was studied 5~100 months after surgery. The flap survival rate was 98.1%. Specifically speaking, 3 patients developed Partial flap loss and 1 patient developed Total flap loss. Regarding ablative site complications, 6 patients developed wound infection, 2 of them, and another 2 patients developed pharyngeal fistula in the ablative area. Regarding donor site complications, 7 patients developed delayed wound healing and 5 patients developed skin graft necrosis. None of the patients complained of walking difficulty in daily life.Conclusion: Free posterior tibial artery perforator flap as a relatively novel flap, with stable blood supply, thin thickness, flexible cortex, long vascular pedicle, and concealed donor area, is very suitable for head and neck reconstruction. Though PTAFs harvest will produce a minor donor site morbidity which could be solved mostly by conservative treatment, we think PTAFs will become one of the popular techniques for reconstruction of head and neck soft tissue defects.

show abstract