FREE MEDIAL SURAL ARTERY PERFORATOR FLAP FOR REPAIRING ANTERIOR DORSAL FOOT WOUND_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 SUNGuangfeng , NIEKaiyu , QIJianping , JINWenhu , LIShujun , ZHANGZiyang , WEIZairong , WANGDali

Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563009, P.R.China;

Corresponding?author：

SUNGuangfeng, Email: sgfzyt@163.com

Keywords：

Medial sural artery perforator flap; Dorsum of foot; Wound repair

DOI：

10.7507/1002-1892.20160074

Video：

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Objective To investigate the effectiveness of the free medial sural artery perforator flap for repairing anterior dorsal foot wound. Methods Between January 2010 and April 2015, 16 patients with skin and soft tissue defects of the anterior foot dorsal side were treated. There were 12 males and 4 females with the average age of 35 years (mean, 16-58 years). The disease causes included burn in 5 cases, traffic accident injury in 8 cases, and crush injury in 3 cases. The time from injury to admission was 2-30 hours (mean, 6.5 hours). The wound area ranged from 4 cm×3 cm to 10 cm×7 cm; combined injury included defects of lateral collateral ligament and joint capsule in 3 cases, and bone exposure in 12 cases, and all had exposure of tendon. Wounds were repaired with the medial sural artery perforator flap in 13 cases, and with medial sural artery perforator composite tissue flap carrying of medial head of gastrocnemius muscle flap in 3 cases. The size of flaps ranged from 5 cm×4 cm to 11 cm×8 cm. The donor site was sutured directly or was repaired with skin grafting. Results All flaps survived well and wounds healed with stage I; skin grafts at donor site survived and the incision healed with stage I. All patients were followed up 6-36 months (mean, 11 months). The appearance of skin flap was satisfactory, without overstaffed; the joint of reconstructed ligament was stable, without secondary deformity. There was no obvious depression at the donor site, and no effect on the function. Conclusion The medial sural artery perforator flap has the advantages of relatively constant perforator anatomy, reliable blood supply, and carries the gastrocnemius muscle flap for repair of compound tissue defect. It is one of better ways to repair the anterior dorsal foot wound.

Citation： SUNGuangfeng, NIEKaiyu, QIJianping, JINWenhu, LIShujun, ZHANGZiyang, WEIZairong, WANGDali. FREE MEDIAL SURAL ARTERY PERFORATOR FLAP FOR REPAIRING ANTERIOR DORSAL FOOT WOUND. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(3): 378-381. doi: 10.7507/1002-1892.20160074 Copy

1.	尹光明.逆行足背動脈蒂跗外側動脈皮瓣修復前足內側皮膚軟組織缺損.創傷外科雜志, 2012, 14(2): 153-156.
2.	宋永進, 徐偉華, 汪春陽, 等.逆行脛前動脈穿支蒂腓淺神經營養血管皮瓣修復前足創面.中國修復重建外科雜志, 2014, 28(11): 1447-1448.
3.	闞利民, 孟小光, 陳江華.低旋轉點腓腸神經營養血管皮瓣修復前足軟組織缺損.中國修復重建外科雜志, 2013, 27(4): 509-510.
4.	施洪臣, 章雪松, 李寶山, 等.低旋轉點外踝上皮瓣修復前足軟組織缺損.中國修復重建外科雜志, 2012, 26(6): 761-763.
5.	雷林革, 何如祥, 程鵬, 等.游離腓動脈穿支皮瓣修復前足皮膚缺損.中國骨傷, 2013, 26(8): 634-636.
6.	Okamoto H, Sekiya I, Mizutani J, et al. Anatomical basis of the medial sural artery perforator flap in Asians. Scand J Plast Reconstr Surg Hand Surg, 2007, 41(3): 125-129.
7.	張連雙, 任志勇, 史迅.吻合感覺神經穿支皮瓣移植修復足跟部軟組織缺損.中國矯形外科雜志, 2013, 21(16): 1681-1683.
8.	宋曉萌, 張瑋, 武和明, 等.腓腸內側動脈穿支皮瓣修復頰癌術后缺損的初步應用.組織工程與重建外科, 2014, 10(5): 269-271.
9.	謝仁國, 湯錦波, 茅天, 等.三種修復手部創面皮瓣的臨床療效評價.中華手外科雜志, 2009, 25(4): 236-238.
10.	Thione A, Valdatta L, Buoro M, et al. The medial sural artery perforators: anatomic basis for a surgical plan. Ann Plast Surg, 2004, 53(3): 250-255.
11.	譚石, 李敬府, 白志勇, 等.彩色多普勒超聲在腓腸內側動脈穿支皮瓣術前評估中的應用.中國臨床醫學影像雜志, 2012, 23(7): 488-491.
12.	卿黎明, 胡懿郃, 唐舉玉, 等.基于數字化技術的腓腸內側動脈穿支皮瓣血供的三維可視化重建研究.中國修復重建外科雜志, 2014, 28(6): 697-700.
13.	Kao HK, Chang KP, Wei FC, et al. Comparison of the medial sural artery perforator flap with the radial forearm flap for head and neck reconstructions. Plast Reconstr Surg, 2009, 124 (4): 1125-1132.
14.	Kim ES, Hwang JH, Kim KS, et al. Plantar reconstruction using the medial sural artery perforator free flap. Ann Plast Surg, 2009, 62 (6): 679-684.
15.	Shimizu F, Kato A, Sato H, et al. Sural perforator flap: assessment of the posterior calf region as donor site for a free fasciocutaneous flap. Microsurgery, 2009, 29(4): 253-258.
16.	壽建國, 王詩波, 王鵬飛.游離腓腸內側動脈穿支皮瓣修復足部組織缺損.實用骨科雜志, 2015, 21(7): 651-653.

1. 尹光明.逆行足背動脈蒂跗外側動脈皮瓣修復前足內側皮膚軟組織缺損.創傷外科雜志, 2012, 14(2): 153-156.
2. 宋永進, 徐偉華, 汪春陽, 等.逆行脛前動脈穿支蒂腓淺神經營養血管皮瓣修復前足創面.中國修復重建外科雜志, 2014, 28(11): 1447-1448.
3. 闞利民, 孟小光, 陳江華.低旋轉點腓腸神經營養血管皮瓣修復前足軟組織缺損.中國修復重建外科雜志, 2013, 27(4): 509-510.
4. 施洪臣, 章雪松, 李寶山, 等.低旋轉點外踝上皮瓣修復前足軟組織缺損.中國修復重建外科雜志, 2012, 26(6): 761-763.
5. 雷林革, 何如祥, 程鵬, 等.游離腓動脈穿支皮瓣修復前足皮膚缺損.中國骨傷, 2013, 26(8): 634-636.
6. Okamoto H, Sekiya I, Mizutani J, et al. Anatomical basis of the medial sural artery perforator flap in Asians. Scand J Plast Reconstr Surg Hand Surg, 2007, 41(3): 125-129.
7. 張連雙, 任志勇, 史迅.吻合感覺神經穿支皮瓣移植修復足跟部軟組織缺損.中國矯形外科雜志, 2013, 21(16): 1681-1683.
8. 宋曉萌, 張瑋, 武和明, 等.腓腸內側動脈穿支皮瓣修復頰癌術后缺損的初步應用.組織工程與重建外科, 2014, 10(5): 269-271.
9. 謝仁國, 湯錦波, 茅天, 等.三種修復手部創面皮瓣的臨床療效評價.中華手外科雜志, 2009, 25(4): 236-238.
10. Thione A, Valdatta L, Buoro M, et al. The medial sural artery perforators: anatomic basis for a surgical plan. Ann Plast Surg, 2004, 53(3): 250-255.
11. 譚石, 李敬府, 白志勇, 等.彩色多普勒超聲在腓腸內側動脈穿支皮瓣術前評估中的應用.中國臨床醫學影像雜志, 2012, 23(7): 488-491.
12. 卿黎明, 胡懿郃, 唐舉玉, 等.基于數字化技術的腓腸內側動脈穿支皮瓣血供的三維可視化重建研究.中國修復重建外科雜志, 2014, 28(6): 697-700.
13. Kao HK, Chang KP, Wei FC, et al. Comparison of the medial sural artery perforator flap with the radial forearm flap for head and neck reconstructions. Plast Reconstr Surg, 2009, 124 (4): 1125-1132.
14. Kim ES, Hwang JH, Kim KS, et al. Plantar reconstruction using the medial sural artery perforator free flap. Ann Plast Surg, 2009, 62 (6): 679-684.
15. Shimizu F, Kato A, Sato H, et al. Sural perforator flap: assessment of the posterior calf region as donor site for a free fasciocutaneous flap. Microsurgery, 2009, 29(4): 253-258.
16. 壽建國, 王詩波, 王鵬飛.游離腓腸內側動脈穿支皮瓣修復足部組織缺損.實用骨科雜志, 2015, 21(7): 651-653.

Chinese Journal of Reparative and Reconstructive Surgery

FREE MEDIAL SURAL ARTERY PERFORATOR FLAP FOR REPAIRING ANTERIOR DORSAL FOOT WOUND

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