Application of anteromedial thigh perforator flap in repair of soft tissue defects of lower limbs_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHENG Yongjian ,  WEI Zairong , LI Hai , JIN Wenhu , DENG Chengliang , NIE Kaiyu , XIAO Shune , HUANG Guangtao , WANG Dali

Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563000, P.R.China;

Corresponding?author：

WEI Zairong, Email: zairongwei@sina.com

Keywords：

Anteromedial thigh perforator flap; lower limb; soft tissue defect; wound repair

DOI：

10.7507/1002-1892.201905019

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate effectiveness of anteromedial thigh perforator flap in repair of soft tissue defects of lower limbs.Methods Between January 2015 and October 2018, 7 patients with soft tissue defects of the lower limbs were repaired with the anteromedial thigh perforator flaps. The patients were males, aged 8-30 years (median, 23 years). There were 5 cases of traffic accident injuries (the time from injury to admission was 1-4 hours, with an average of 1.5 hours), 1 case of scar formation after traffic accident, and 1 case of scar deformity after burn. The defect located in calf in 5 cases, foot in 1 case, and thigh in 1 case. The area of soft tissue defects ranged from 12 cm×4 cm to 21 cm×7 cm; and the area of flaps ranged from 14 cm×5 cm to 24 cm×8 cm. The donor sites were sutured directly.Results The flaps survived completely after operation in 6 cases, and the wounds healed by the first intention; the partial necrosis of flap occurred and healed after skin graft repair in 1 case. One incision partially ruptured in the donor site and healed after dressing change; the other incisions healed by the first intetion. All patients were followed up 6 months to 2 years with an average of 9 months. Except 1 case complained of edema of the flap, the other patients had good shape, good color, and no swelling.Conclusion For patients with soft tissue defects of lower limbs that cannot be repaired with anterolateral thigh perforator flap, the anteromedial thigh perforator flap can be used for good results.

Citation： ZHENG Yongjian, WEI Zairong, LI Hai, JIN Wenhu, DENG Chengliang, NIE Kaiyu, XIAO Shune, HUANG Guangtao, WANG Dali. Application of anteromedial thigh perforator flap in repair of soft tissue defects of lower limbs. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(12): 1552-1555. doi: 10.7507/1002-1892.201905019 Copy

1.	Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg, 1989, 42(6): 645-648.
2.	宋達疆, 李贊, 周曉, 等. 游離帶感覺超薄股前外側穿支皮瓣修復踇甲瓣供區創面的療效觀察. 中國修復重建外科雜志, 2017, 31(8): 987-991.
3.	朱躍良, 殷作明, 王家祥, 等. 股前外側穿支皮瓣切取技巧分析. 中國修復重建外科雜志, 2017, 31(1): 57-61.
4.	楊林, 劉宏君, 張文忠, 等. 改良股前外側游離穿支皮瓣橋式交叉移植修復小腿中下段軟組織缺損. 中國修復重建外科雜志, 2017, 31(10): 1240-1244.
5.	宋達疆, 李贊, 周曉, 等. 游離分葉股前外側穿支皮瓣修復口腔頜面部惡性腫瘤術后頰部洞穿缺損. 中國修復重建外科雜志, 2018, 32(5): 607-611.
6.	張樹新, 鄒旭, 許永先, 等. 股前外側皮瓣修復前臂及手部熱壓傷五例. 中華顯微外科雜志, 2018, 41(1): 72-74.
7.	劉龍燦, 劉元波, 臧夢青, 等. 以股直肌支穿支為蒂的逆行股前內側皮瓣臨床應用研究. 中國修復重建外科雜志, 2016, 30(12): 1502-1506.
8.	吳春, 譚莉, 王正理, 等. 股內側肌穿支皮瓣游離移植修復手或足部皮膚軟組織缺損. 中華顯微外科雜志, 2018, 41(2): 172-174.
9.	楊曉東, 丁茂超, 梅勁, 等. 股前內側穿支皮瓣的應用解剖學研究. 中國臨床解剖學雜志, 2011, 29(6): 624-628.
10.	Tayfur V, Magden O, Edizer M, et al. Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery. Folia Morphol (Warsz), 2016, 75(1): 101-106.
11.	Cigna E, Chen HC, Ozkan O, et al. The anteromedial thigh free flap anatomy: a clinical, anatomical, and cadaveric study. Plast Reconstr Surg, 2013, 133(2): 420-429.
12.	魏在榮. 影響皮瓣成活的血管因素分析. 中國美容整形外科雜志, 2014, 25(3): 129-131.
13.	魏在榮, 孫廣峰, 唐修俊, 等. 腘窩中間動脈蒂混合供血皮瓣修復兒童腘窩瘢痕攣縮. 中國修復重建外科雜志, 2012, 26(8): 946-949.
14.	Zhuang Y, Hu S, Wu D, et al. A novel in vivo technique for observations of choke vessels in a rat skin flap model. Plast Reconstr Surg, 2012, 130(2): 308-317.
15.	李海, 鄧呈亮, 魏在榮, 等. 分葉股前外側穿支皮瓣在血管蒂保護中的作用研究. 中國修復重建外科雜志, 2017, 31(10): 1245-1249.

1. Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg, 1989, 42(6): 645-648.
2. 宋達疆, 李贊, 周曉, 等. 游離帶感覺超薄股前外側穿支皮瓣修復踇甲瓣供區創面的療效觀察. 中國修復重建外科雜志, 2017, 31(8): 987-991.
3. 朱躍良, 殷作明, 王家祥, 等. 股前外側穿支皮瓣切取技巧分析. 中國修復重建外科雜志, 2017, 31(1): 57-61.
4. 楊林, 劉宏君, 張文忠, 等. 改良股前外側游離穿支皮瓣橋式交叉移植修復小腿中下段軟組織缺損. 中國修復重建外科雜志, 2017, 31(10): 1240-1244.
5. 宋達疆, 李贊, 周曉, 等. 游離分葉股前外側穿支皮瓣修復口腔頜面部惡性腫瘤術后頰部洞穿缺損. 中國修復重建外科雜志, 2018, 32(5): 607-611.
6. 張樹新, 鄒旭, 許永先, 等. 股前外側皮瓣修復前臂及手部熱壓傷五例. 中華顯微外科雜志, 2018, 41(1): 72-74.
7. 劉龍燦, 劉元波, 臧夢青, 等. 以股直肌支穿支為蒂的逆行股前內側皮瓣臨床應用研究. 中國修復重建外科雜志, 2016, 30(12): 1502-1506.
8. 吳春, 譚莉, 王正理, 等. 股內側肌穿支皮瓣游離移植修復手或足部皮膚軟組織缺損. 中華顯微外科雜志, 2018, 41(2): 172-174.
9. 楊曉東, 丁茂超, 梅勁, 等. 股前內側穿支皮瓣的應用解剖學研究. 中國臨床解剖學雜志, 2011, 29(6): 624-628.
10. Tayfur V, Magden O, Edizer M, et al. Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery. Folia Morphol (Warsz), 2016, 75(1): 101-106.
11. Cigna E, Chen HC, Ozkan O, et al. The anteromedial thigh free flap anatomy: a clinical, anatomical, and cadaveric study. Plast Reconstr Surg, 2013, 133(2): 420-429.
12. 魏在榮. 影響皮瓣成活的血管因素分析. 中國美容整形外科雜志, 2014, 25(3): 129-131.
13. 魏在榮, 孫廣峰, 唐修俊, 等. 腘窩中間動脈蒂混合供血皮瓣修復兒童腘窩瘢痕攣縮. 中國修復重建外科雜志, 2012, 26(8): 946-949.
14. Zhuang Y, Hu S, Wu D, et al. A novel in vivo technique for observations of choke vessels in a rat skin flap model. Plast Reconstr Surg, 2012, 130(2): 308-317.
15. 李海, 鄧呈亮, 魏在榮, 等. 分葉股前外側穿支皮瓣在血管蒂保護中的作用研究. 中國修復重建外科雜志, 2017, 31(10): 1245-1249.

Chinese Journal of Reparative and Reconstructive Surgery

Application of anteromedial thigh perforator flap in repair of soft tissue defects of lower limbs

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