Island medial plantar artery perforator flap for reconstruction of plantar defects

被引：45

作者：

Koshima, Isao ^{[1
]}

Narushima, Mitsunaga ^{[1
]}

Mihara, Mokoto ^{[1
]}

Nakai, Ikuo ^{[1
]}

Akazawa, Satoshi ^{[1
]}

Fukuda, Norio ^{[1
]}

Watanabe, Yorikatsu ^{[1
]}

Nakagawa, Masahiro ^{[1
]}

机构：

[1] Univ Tokyo, Grad Sch Med, Dept Plast & Reconstruct Surg, Tokyo, Japan

来源：

ANNALS OF PLASTIC SURGERY | 2007年 / 59卷 / 05期

关键词：

medial plantar artery perforator flap; microsurgery; plantar defect; flow-through flap; aterolateral thigh flap;

D O I：

10.1097/SAP.0b013e3180315528

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Three cases in which island medial plantar artery perforator flaps were successfully transferred for coverage of the plantar defects are described. This perforator flap is different from the medial plantar flap based on the medial plantar artery. The flap has no fascial component and is nourished only with the perforator of the medial plantar vessel. Therefore, transection of the medial plantar artery is usually unnecessary. This flap can cover defects on the forefoot and heel without transaction of the medial plantar system. The advantages of this flap are no need for deep or long dissection for the medial plantar vessel, no exposure of the plantar sensory nerve, a short time for flap elevation, minimal donor-site morbidity, relatively large flap survival, and no damage of both the posterior tibial and medial plantar neurovascular systems.

引用

页码：558 / 562

页数：5

共 20 条

[1] A DISTALLY BASED MEDIAN PLANTAR FLAP [J].

AMARANTE, J ;

MARTINS, A ;

REIS, J .

ANNALS OF PLASTIC SURGERY, 1988, 20 (05) :468-470

[2] LATISSIMUS-DORSI MUSCULOCUTANEOUS FLAP WITHOUT MUSCLE [J].

ANGRIGIANI, C ;

GRILLI, D ;

SIEBERT, J .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1995, 96 (07) :1608-1614

[3] Retrograde-flow medial plantar island flap reconstruction of distal forefoot, toe, and webspace defects [J].

Butler, CE ;

Chevray, P .

ANNALS OF PLASTIC SURGERY, 2002, 49 (02) :196-201

[4] THE INSTEP ISLAND FLAP TO RESURFACE PLANTAR DEFECTS [J].

HARRISON, DH ;

MORGAN, BDG .

BRITISH JOURNAL OF PLASTIC SURGERY, 1981, 34 (03) :315-318

[5] FINGER PULP RECONSTRUCTION WITH A FREE SENSORY MEDIAL PLANTAR FLAP [J].

INOUE, T ;

KOBAYASHI, M ;

HARASHINA, T .

BRITISH JOURNAL OF PLASTIC SURGERY, 1988, 41 (06) :657-659

[6] THE USE OF A FREE MEDIALIS-PEDIS FLAP FOR RESURFACING SKIN DEFECTS OF THE HAND AND DIGITS - RESULTS IN 5 CASES [J].

ISHIKURA, N ;

HESHIKI, T ;

TSUKADA, S .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1995, 95 (01) :100-107

[7] Flow-through anterior thigh flaps with a short pedicle for reconstruction of lower leg and foot defects [J].

Koshima, I ;

Fujitsu, M ;

Ushio, S ;

Sugiyama, N ;

Yamashita, S .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2005, 115 (01) :155-162

[8] FLOW-THROUGH ANTERIOR THIGH FLAPS FOR ONE-STAGE RECONSTRUCTION OF SOFT-TISSUE DEFECTS AND REVASCULARIZATION OF ISCHEMIC EXTREMITIES [J].

KOSHIMA, I ;

KAWADA, S ;

ETOH, H ;

KAWAMURA, S ;

MORIGUCHI, T ;

SONOH, H .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1995, 95 (02) :252-260

[9] Free gluteal artery perforator flap with a short, small perforator [J].

Koshima, I ;

Tsutsui, T ;

Takahashi, Y ;

Nanba, Y .

ANNALS OF PLASTIC SURGERY, 2003, 51 (02) :200-204

[10] Medial plantar perforator flaps with supermicrosurgery [J].

Koshima, I ;

Nanba, Y ;

Tsutsui, T ;

Takahashi, Y .

CLINICS IN PLASTIC SURGERY, 2003, 30 (03) :447-+

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