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

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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.逆行足背动脉蒂跗外侧动脉皮瓣修复前足内侧皮肤软组织缺损.创伤外科杂志, 2012, 14(2): 153-156.
2.	宋永进, 徐伟华, 汪春阳, 等.逆行胫前动脉穿支蒂腓浅神经营养血管皮瓣修复前足创面.中国修复重建外科杂志, 2014, 28(11): 1447-1448.
3.	阚利民, 孟小光, 陈江华.低旋转点腓肠神经营养血管皮瓣修复前足软组织缺损.中国修复重建外科杂志, 2013, 27(4): 509-510.
4.	施洪臣, 章雪松, 李宝山, 等.低旋转点外踝上皮瓣修复前足软组织缺损.中国修复重建外科杂志, 2012, 26(6): 761-763.
5.	雷林革, 何如祥, 程鹏, 等.游离腓动脉穿支皮瓣修复前足皮肤缺损.中国骨伤, 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.	张连双, 任志勇, 史迅.吻合感觉神经穿支皮瓣移植修复足跟部软组织缺损.中国矫形外科杂志, 2013, 21(16): 1681-1683.
8.	宋晓萌, 张玮, 武和明, 等.腓肠内侧动脉穿支皮瓣修复颊癌术后缺损的初步应用.组织工程与重建外科, 2014, 10(5): 269-271.
9.	谢仁国, 汤锦波, 茅天, 等.三种修复手部创面皮瓣的临床疗效评价.中华手外科杂志, 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.	谭石, 李敬府, 白志勇, 等.彩色多普勒超声在腓肠内侧动脉穿支皮瓣术前评估中的应用.中国临床医学影像杂志, 2012, 23(7): 488-491.
12.	卿黎明, 胡懿郃, 唐举玉, 等.基于数字化技术的腓肠内侧动脉穿支皮瓣血供的三维可视化重建研究.中国修复重建外科杂志, 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.	寿建国, 王诗波, 王鹏飞.游离腓肠内侧动脉穿支皮瓣修复足部组织缺损.实用骨科杂志, 2015, 21(7): 651-653.

1. 尹光明.逆行足背动脉蒂跗外侧动脉皮瓣修复前足内侧皮肤软组织缺损.创伤外科杂志, 2012, 14(2): 153-156.
2. 宋永进, 徐伟华, 汪春阳, 等.逆行胫前动脉穿支蒂腓浅神经营养血管皮瓣修复前足创面.中国修复重建外科杂志, 2014, 28(11): 1447-1448.
3. 阚利民, 孟小光, 陈江华.低旋转点腓肠神经营养血管皮瓣修复前足软组织缺损.中国修复重建外科杂志, 2013, 27(4): 509-510.
4. 施洪臣, 章雪松, 李宝山, 等.低旋转点外踝上皮瓣修复前足软组织缺损.中国修复重建外科杂志, 2012, 26(6): 761-763.
5. 雷林革, 何如祥, 程鹏, 等.游离腓动脉穿支皮瓣修复前足皮肤缺损.中国骨伤, 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. 张连双, 任志勇, 史迅.吻合感觉神经穿支皮瓣移植修复足跟部软组织缺损.中国矫形外科杂志, 2013, 21(16): 1681-1683.
8. 宋晓萌, 张玮, 武和明, 等.腓肠内侧动脉穿支皮瓣修复颊癌术后缺损的初步应用.组织工程与重建外科, 2014, 10(5): 269-271.
9. 谢仁国, 汤锦波, 茅天, 等.三种修复手部创面皮瓣的临床疗效评价.中华手外科杂志, 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. 谭石, 李敬府, 白志勇, 等.彩色多普勒超声在腓肠内侧动脉穿支皮瓣术前评估中的应用.中国临床医学影像杂志, 2012, 23(7): 488-491.
12. 卿黎明, 胡懿郃, 唐举玉, 等.基于数字化技术的腓肠内侧动脉穿支皮瓣血供的三维可视化重建研究.中国修复重建外科杂志, 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. 寿建国, 王诗波, 王鹏飞.游离腓肠内侧动脉穿支皮瓣修复足部组织缺损.实用骨科杂志, 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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