The Practical Perforator Flap": The sural artery flap for lower extremity soft tissue reconstruction in wounds of war"

被引:9
作者
Van Waes O.J.F. [1 ]
Halm J.A. [1 ]
Vermeulen J. [1 ]
Ashford B.G. [2 ,3 ]
机构
[1] Department of Trauma Surgery, Erasmus University Medical Center, Rotterdam
[2] Department of Surgery, Liverpool Hospital, Liverpool, NSW
[3] Wollongong Hospital, Wollongong, NSW
关键词
Lower limb; Perforator flap; Reconstruction; Soft tissue; Sural artery; Trauma;
D O I
10.1007/s00590-012-1133-6
中图分类号
学科分类号
摘要
Background: Sural artery perforator flaps have been described for use as both local flaps and in free tissue transfer. We present the use of this flap for compound soft tissue defects of the lower limb in civilian casualties of armed conflict in Afghanistan. Methods/results: Detailed description of the management of blast and high-velocity projectile wounds of the lower extremity with the use of local sural perforator flaps and a review of literature. Conclusions: Sural artery perforator flaps may be harvested to cover complex lower limb defects. The use of this technique is not limited to centers with complex surgical armamentarium per se, but is feasible for surgeons with good understanding of the local anatomy. © Springer-Verlag 2012.
引用
收藏
页码:S285 / S289
页数:4
相关论文
共 16 条
[1]  
Thione A., Valdatta L., Buoro M., Tuinder S., Mortarino C., Putz R., The medial sural artery perforators: Anatomic basis for a surgical plan, Annals of Plastic Surgery, 53, 3, pp. 250-255, (2004)
[2]  
Cavadas P.C., Sanz-Gimenez-Rico J.R., Gutierrez-De La C.A., Navarro-Monzonis A., Soler-Nomdedeu S., Martinez-Soriano F., The medial sural artery perforator free flap, Plastic and Reconstructive Surgery, 108, 6, pp. 1609-1615, (2001)
[3]  
Manchot C., The Cutaneous Arteries of the Human Body, (1983)
[4]  
Montegut W.J., Allen R.J., Sural artery perforator flap as an alternative for the gastrocnemius myocutaneous flap, Proceedings from the 90th Annual Scientific Assembly of the Southern Medical Association. Balti-more, Md., 20-24 Nov 1996, (1996)
[5]  
Hallock G.G., Anatomic basis of the gastrocnemius perforator-based flap, Ann Plast Surg, 47, 5, pp. 517-522, (2001)
[6]  
Walton R.L., Bunkis J., The posterior calf fasciocutaneous free flap, Plastic and Reconstructive Surgery, 74, 1, pp. 76-85, (1984)
[7]  
Kim H.H., Jeong J.H., Seul J.H., Cho B.C., New design and identification of the medial sural perforator flap: An anatomical study and its clinical applications, Plastic and Reconstructive Surgery, 117, 5, pp. 1609-1618, (2006)
[8]  
Hallock G.G., Doppler sonography and color duplex imaging for planning a perforator flap, Clin Plast Surg, 30, 3, (2003)
[9]  
Giunta R.E., Geisweid A., Feller A.M., The value of preoperative doppler sonography for planning free perforator flaps, Plastic and Reconstructive Surgery, 105, 7, pp. 2381-2386, (2000)
[10]  
Khan U.D., Miller J.G., Reliability of handheld Doppler in planning local perforator-based flaps for extremities, Aesthetic Plastic Surgery, 31, 5, pp. 521-525, (2007)