FREE VASCULARIZED POPLITEAL ARTERY CUTANEOUS BRANCH FLAP FOR REPAIR OF WOUND ON FOOT AND ANKLE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SHENLilin , SONGSuping , LINCuixia , LIWenlong ,  SUNXuesheng , ZHUTao , LIQiang

No. 2 Department of Orthopedics, Laiwu Hospital Affiliated to Taishan Medical College, Laiwu Shandong, 271100, P. R. China;

Corresponding?author：

SUNXuesheng, Email: jialilve@163.com

Keywords：

Popliteal artery cutaneous branch flap; Lateral tarsal artery and vein; Wound on foot and ankle; Wound repair

DOI：

10.7507/1002-1892.20140020

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Objective To investigate the feasibility and effectiveness of free popliteal artery cutaneous branch flap anastomosed with lateral tarsal artery and vein for the repair of wound on the foot and ankle by anatomical observation and clinical application. Methods Latex was poured into the blood vessels of 8 cadavers, then perforator vessel of posterolateral upper calf was dissected, and the popliteal artery cutaneous branch flap was designed with a pedicle of 2.5 cm in length; the lateral tarsal artery of the foot was dissected, could be freed to 6 cm in length; the diameter of these vessels was measured, and the number of the accompanying veins was counted. Between March 2010 and January 2013, 13 cases of foot and ankle wounds were repaired with popliteal artery cutaneous branch flap anastomosed with lateral tarsal artery and vein. The size of flaps ranged from 6.0 cm×4.0 cm to 7.5 cm×5.5 cm. There were 11 males and 2 females, aged from 41 to 65 years (mean, 47.3 years). The causes of injury included traffic accident in 8 cases, crushing in 4 cases, and twist by machine in 1 case. The size of wounds, ranged from 5.0 cm×3.5 cm to 7.0 cm×5.0 cm. The donor sites were sutured directly. Results According to anatomical observation, the popliteal artery cutaneous branch flap was designed by using the lateral popliteal artery perforator for shaft. The vessel of the pedicle perforator flaps from the popliteal artery cutaneous branch flap matched well with the lateral tarsal artery. Clinical results: vascular crisis occurred in 2 flaps, which survived after symptomatic treatment; the other flaps survived, with primary healing of wound and incision at donor site. The patients were all followed up 5-18 months (mean, 11 months). The flap had normal color and good elasticity. Second stage operation was performed to make the flap thinner in 3 female patients because of bulky flaps. The remaining patients had no obvious fat flap. According to American Orthopaedic Foot and Ankle Society (AOFAS) score for evaluation of the ankle function at 6 months after operation, the results were excellent in 7 cases, good in 5 cases, and fair in 1 case, with an excellent and good rate of 92.3%. Conclusion Free popliteal artery cutaneous branch flap anastomosed with lateral tarsal artery and vein for the repair of wound on the foot and ankle is simple and effective. The donor site is hidden.

Citation： SHENLilin, SONGSuping, LINCuixia, LIWenlong, SUNXuesheng, ZHUTao, LIQiang. FREE VASCULARIZED POPLITEAL ARTERY CUTANEOUS BRANCH FLAP FOR REPAIR OF WOUND ON FOOT AND ANKLE. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(1): 88-91. doi: 10.7507/1002-1892.20140020 Copy

1.	趙民,李然,李大村,等.足踝部皮膚軟組織缺損的修復.中國修復重建外科雜志,2012,26(2):255-256.
2.	施耘,馮世海,曲年振,等.腓腸神經營養血管蒂逆行島狀皮瓣修復足踝部深度燒傷.中國修復重建外科雜志,2006,20(4):481-482.
3.	胡勇,王增濤,朱小雷,等.帶感覺神經的足背動脈蒂跗外側動脈皮瓣修復前足缺損.中華顯微外科雜志,2007,30(2):91-92.
4.	張繼春,田德虎,張克亮,等.應用足跗外側動脈逆行島狀皮瓣修復前足皮膚缺損.中華顯微外科雜志,2007,30(2):128.
5.	魏勇,李鈞,童哲,等.跗外側皮瓣修復甲皮瓣術中趾供區的創面.中華手外科雜志,2010,26(5):318.
6.	楊錦,楊曉東,劉揚武,等.游離跗外側皮瓣修復指腹皮膚軟組織缺損.中華顯微外科雜志,2012,35(3):222-223.
7.	苗衛華,劉振,許超.逆行跗外側動脈皮瓣修復前足皮膚軟組織缺損.中國修復重建外科雜志,2010,24(1):53-56.
8.	徐永清,朱躍良,范新宇,等.吻合血管的小腿穿支皮瓣修復四肢創面.中華顯微外科雜志,2012,35(6):450-452.
9.	顧加祥,劉宏君,潘俊博,等.游離髂腹股溝皮瓣在足部創面的應用.實用手外科雜志,2012,26(3):229-230,251.
10.	侯春林,顧玉東.皮瓣外科學.上海:上海科學技術出版社,2006:663.
11.	蔡錦芳,丁自海,陳中偉.顯微足外科學.濟南:山東科學技術出版社,2002:533-535.
12.	王增濤,王一兵,丁自海,等.顯微外科臨床解剖學圖譜.濟南:山東科學技術出版社,2009:595-597.
13.	鄭和平.顯微外科解剖學實物圖譜——四肢組織瓣分冊.北京:人民衛生出版社,2004:113-115.
14.	于紹斌,董啟榕,王亞斌.同種異體骨移植在移位關節內跟骨骨折手術中的應用.中國修復重建外科雜志,2008,27(7):869-872.
15.	孫超,王增濤,侯致典,等.骨間后動脈皮支鏈皮瓣的應用解剖.中華顯微外科雜志,2012,35(1):46-49.

1. 趙民,李然,李大村,等.足踝部皮膚軟組織缺損的修復.中國修復重建外科雜志,2012,26(2):255-256.
2. 施耘,馮世海,曲年振,等.腓腸神經營養血管蒂逆行島狀皮瓣修復足踝部深度燒傷.中國修復重建外科雜志,2006,20(4):481-482.
3. 胡勇,王增濤,朱小雷,等.帶感覺神經的足背動脈蒂跗外側動脈皮瓣修復前足缺損.中華顯微外科雜志,2007,30(2):91-92.
4. 張繼春,田德虎,張克亮,等.應用足跗外側動脈逆行島狀皮瓣修復前足皮膚缺損.中華顯微外科雜志,2007,30(2):128.
5. 魏勇,李鈞,童哲,等.跗外側皮瓣修復甲皮瓣術中趾供區的創面.中華手外科雜志,2010,26(5):318.
6. 楊錦,楊曉東,劉揚武,等.游離跗外側皮瓣修復指腹皮膚軟組織缺損.中華顯微外科雜志,2012,35(3):222-223.
7. 苗衛華,劉振,許超.逆行跗外側動脈皮瓣修復前足皮膚軟組織缺損.中國修復重建外科雜志,2010,24(1):53-56.
8. 徐永清,朱躍良,范新宇,等.吻合血管的小腿穿支皮瓣修復四肢創面.中華顯微外科雜志,2012,35(6):450-452.
9. 顧加祥,劉宏君,潘俊博,等.游離髂腹股溝皮瓣在足部創面的應用.實用手外科雜志,2012,26(3):229-230,251.
10. 侯春林,顧玉東.皮瓣外科學.上海:上海科學技術出版社,2006:663.
11. 蔡錦芳,丁自海,陳中偉.顯微足外科學.濟南:山東科學技術出版社,2002:533-535.
12. 王增濤,王一兵,丁自海,等.顯微外科臨床解剖學圖譜.濟南:山東科學技術出版社,2009:595-597.
13. 鄭和平.顯微外科解剖學實物圖譜——四肢組織瓣分冊.北京:人民衛生出版社,2004:113-115.
14. 于紹斌,董啟榕,王亞斌.同種異體骨移植在移位關節內跟骨骨折手術中的應用.中國修復重建外科雜志,2008,27(7):869-872.
15. 孫超,王增濤,侯致典,等.骨間后動脈皮支鏈皮瓣的應用解剖.中華顯微外科雜志,2012,35(1):46-49.

Chinese Journal of Reparative and Reconstructive Surgery

FREE VASCULARIZED POPLITEAL ARTERY CUTANEOUS BRANCH FLAP FOR REPAIR OF WOUND ON FOOT AND ANKLE

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