Peroneal artery perforator flap for the treatment of chronic lower extremity wounds

被引:21
作者
Cheng, Liang
Yang, Xiaqing
Chen, Tingxiang
Li, Zhijie [1 ]
机构
[1] Wenzhou Med Univ, Affiliated Hosp 2, Dept Hand & Plast Surg, 109 Xue Yuan Xi Rd, Wenzhou, Zhejiang, Peoples R China
关键词
Peroneal artery perforator flap; Chronic lower extremity wounds; Reconstructive; MUSCLE FLAPS; RECONSTRUCTION; DEFECT; LEG;
D O I
10.1186/s13018-017-0675-z
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Reconstruction of chronic lower extremity wounds remains challenging. These wounds are mainly associated with diabetes mellitus, infections, and osteomyelitis. Although several reconstructive techniques are available, the peroneal artery perforator flap has unique advantages. Methods: In this study, we discuss our experiences with peroneal artery perforator flaps in 55 patients who had suffered from chronic lower limb wounds. The size of the defect, comorbidities, etiology, flap size, and complications were recorded and analyzed based on a retrospective chart review. Results: All 55 flaps survived. In two cases, small superficial necrosis occurred, one of which healed with conservative treatment and the other was reconstructed with split thickness skin grafts. Partial necrosis was observed in nine cases, seven of which were covered with split thickness skin grafts and the remaining two sutured directly after adequate debridement. Vascular compromise was observed in one patient, which was salvaged successfully by performing an exploratory procedure and releasing a few sutures. No complications were seen in the remaining 44 cases. Conclusion: The peroneal artery perforator flap is a reliable option for reconstruction of chronic lower extremity wounds.
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页数:7
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