Adipofascial Flap Distally Based on the Perforating Branch of the Peroneal Artery for Coverage of Dorsum of the Foot and Ankle

족부와 족관절 배부의 피복을 위한 비골 동맥 천공지를 기초로 한 역혈행성 지방근막 피판

  • Lee, Young-Ho (Department of Orthopedic Surgery, Soonchunhyang University College of Medicine) ;
  • Choi, Soo-Joong (Department of Orthopedic Surgery, Hallym University College of Medicine) ;
  • Sung, Moo-Kwon (Department of Orthopedic Surgery, Soonchunhyang University College of Medicine) ;
  • Rah, Soo-Kyoon (Department of Orthopedic Surgery, Soonchunhyang University College of Medicine)
  • 이영호 (순천향대학교 의과대학 정형외과학교실) ;
  • 최수중 (한림대학교 의과대학 정형외과학교실) ;
  • 성무권 (순천향대학교 의과대학 정형외과학교실) ;
  • 나수균 (순천향대학교 의과대학 정형외과학교실)
  • Published : 2003.05.31

Abstract

Soft tissue reconstruction of dorsum of the foot and ankle has long presented challenging problems for the reconstructive surgeon. Limitations of available local tissue, the need for specialized tissue, and donor site morbidity restrict the options. In an effort to solve these difficult problems, we have begun to use adipofascial flap based on the perforating branch of the peroneal artery. We present our early experience of 5 patients treated with this flap. Our patients ranged from 6 to 26 years in age and included 3 males and 2 females. The etiologies of the wounds were secondary to traffic accident, and crushing injury. The flaps had reverse flow in all patients. The flap and the adjoining raw area were covered with a full-thickness skin graft, while the donor site at the lateral aspect of the leg was closed primarily without grafting. The skin graft was taken from the inguinal area, which was closed primarily. Compared with other flap, this adipofascial flap is thinner, producing less bulkiness to the recipient site and minor aesthetic sequelae to the donor site. In our opinion, this flap is versatile, effective, and an addition to the armamentarium of the reconstructive surgeon for coverage of difficult wounds of the foot and ankle.

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