A reversed superficial peroneal neurocutaneous island flap based on the descending branch of the distal peroneal perforator: Clinical experiences and modifications

Chai, Yimin; Zeng, Bingfang; Cai, Ping; Kang, Qinlin; Chen, Yunfeng; Wang, Chunyang

doi:10.1002/micr.20437

Cited by 12 publications

(5 citation statements)

References 18 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, some modified distally based peroneal artery perforator septocutaneous flaps were de-scribed. [6][7][8][9][10] Although these flaps with a thin perforator pedicle, emerging 5 cm above the lateral malleolus from the peroneal artery, are easily rotated, the length of the perforator pedicle is less than 3.0 cm such that the flaps cannot be transferred to cover the soft tissue defect of the contralateral limb through the cross-bridge. From our preliminary cadaver dissection and clinical experience, three to five peroneal septocutaneous perforators existed, which issued from the peroneal artery directly in this region.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] The flap, which is nourished by several branches of the peroneal artery, has a long enough peroneal artery pedicle and can be used as a cross-leg or cross-bridge flap without microvascular anastomoses. Recently, some modified distally based peroneal artery perforator sural fasciocutaneous flaps were described, [6][7][8][9][10] which have a constant perforator pedicle emerging 5 cm above the lateral malleolus from the peroneal artery. The perforator pedicle nourished the posterior lower leg through sural longitudinal neuroadipofascial plexus.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Distally Based Extended Peroneal Artery Septocutaneous Perforator Cross-Bridge Flap without Microvascular Anastomoses for Reconstruction of Contralateral Leg and Foot Soft Tissue Defects

Li¹,

Zeng²,

Fan³

et al. 2010

J reconstr Microsurg

Self Cite

View full text Add to dashboard Cite

A cross-leg or cross-bridge free flap is one of the choices for the reconstruction of serious leg soft tissue defects. Here, we report on six cases of leg and foot reconstruction with a distally based extended peroneal artery septocutaneous perforator cross-bridge flap without microvascular anastomoses. The vascular pedicle includes the peroneal artery, its perforator branch, and concomitant veins. The total pedicle length ranges from 10 to 14 cm, and the size ranges from 18 x 8 to 21 x 10 cm. All flaps survived completely without complications. Compared with a cross-leg or cross-bridge free flap, a distally based extended peroneal artery septocutaneous perforator cross-bridge flap without microvascular anastomoses does not require the use of some instruments or techniques for microsurgery, leading to a shorter operation duration and a lower risk of thrombosis in the vessel because microvascular anastomosis is not required.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Distally Based Extended Peroneal Artery Septocutaneous Perforator Cross-Bridge Flap without Microvascular Anastomoses for Reconstruction of Contralateral Leg and Foot Soft Tissue Defects

Li¹,

Zeng²,

Fan³

et al. 2010

J reconstr Microsurg

Self Cite

View full text Add to dashboard Cite

show abstract

“…The perforator has to be dissected for more than 1 cm to allow facile rotation and to avoid torsion. The perforator must be without tension and overlapping when the flap is rotated to the recipient site [16][17][18] (Fig. 4).…”

Section: Peroneal Artery Perforator Flapmentioning

confidence: 99%

Post Traumatic Reconstruction of the Pediatric Heel and Achilles Tendon

Zhu

Duan³

et al. 2016

Annals of Plastic Surgery

View full text Add to dashboard Cite

Severe motorcycle spoke injuries of the heel lead to Achilles tendon defects, calcaneal tubercle exposure or loss, and overlying soft tissue defects, which are challenging to treat. Given the special physiological and developmental characteristics of children, severe spoke injuries of the heel in children are especially troublesome.We report details of 31 cases of severe motorcycle spoke injuries of the heel in children. The reconstruction timing depended on the time since injury, systematic conditions, and concurrent injuries. Eighteen cases were reconstructed at the time of emergency surgery, and 13 cases underwent delayed reconstruction. Appropriate flap transfer and Achilles tendon repair were conducted based on the defect size of the Achilles tendon, the main location of the soft tissue defect, and the distal residues of the Achilles tendon.Of the 31 cases, 16 cases were reconstructed with sliding gastrocnemius musculocutaneous flaps, 7 cases had saphenous neurocutaneous flaps, 4 cases had posterior tibial perforator flaps, 3 cases had sural neurocutaneous flaps, and 1 case was repaired with a peroneal artery perforator flap. All flaps healed uneventfully except for 3 cases of flap partial necrosis and 1 case of local infection of the Achilles tendon. During 6 months to 4 years of follow-up, dorsiflexion of the ankle was obviously limited at first but gradually recovered and enabled normal walking. However, due to the possibilities of calcaneal defects, epiphyseal injuries, and Achilles tendon problems, long-term follow-up is indicated.

show abstract

“…This flap, with its modifications, has been used for moderate-sized defects. [6–9] The skin territory supplied by these lower peroneal perforators is limited, and useful flaps therefore have to be based on its communications with another fascial, fasciocutaneous or neurofasciocutaneous plexus. This limits its dimensions, pedicle length and the distal reach.…”

Section: Introductionmentioning

confidence: 99%

Reverse peroneal artery flap for large defects of ankle and foot: A reliable reconstructive technique

Tharayil

Patil

2012

Indian J Plast Surg

View full text Add to dashboard Cite

Background:Large soft tissue defects around the lower third of the leg, ankle and foot always have been challenging to reconstruct. Reverse sural flaps have been used for this problem with variable success. Free tissue transfer has revolutionised management of these problem wounds in selected cases.Materials and Methods:Twenty-two patients with large defects around the lower third of the leg, ankle and foot underwent reconstruction with reverse peroneal artery flap (RPAF) over a period of 7 years. The mean age of these patients was 41.2 years.Results:Of the 22 flaps, 21 showed complete survival without even marginal necrosis. One flap failed, where atherosclerotic occlusion of peroneal artery was evident on the table. Few patients had minor donor site problems that settled with conservative management.Conclusions:RPAF is a very reliable flap for the coverage of large soft tissue defects of the heel, sole and dorsum of foot. This flap adds versatility in planning and execution of this extended reverse sural flap.

show abstract

A reversed superficial peroneal neurocutaneous island flap based on the descending branch of the distal peroneal perforator: Clinical experiences and modifications

Cited by 12 publications

References 18 publications

Distally Based Extended Peroneal Artery Septocutaneous Perforator Cross-Bridge Flap without Microvascular Anastomoses for Reconstruction of Contralateral Leg and Foot Soft Tissue Defects

Distally Based Extended Peroneal Artery Septocutaneous Perforator Cross-Bridge Flap without Microvascular Anastomoses for Reconstruction of Contralateral Leg and Foot Soft Tissue Defects

Post Traumatic Reconstruction of the Pediatric Heel and Achilles Tendon

Reverse peroneal artery flap for large defects of ankle and foot: A reliable reconstructive technique

Contact Info

Product

Resources

About