Perforator flap: A novel method for providing skin cover to lower limb defects

Mukherjee, M. K.; Parwaz, M. Alam; Chakravarty, B; Langer, Vijay

doi:10.1016/j.mjafi.2012.03.003

Cited by 7 publications

(3 citation statements)

References 11 publications

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“…In our study using adipofascial flap, four of the five patients who were having fractured tibia healed satisfactorily. Apart from aesthetics and stability, important issue which should be addressed while reconstructing defect around malleolus and lower third of the leg is ease of using foot wears,[ 4 ] clothing and socks. Use of slender adipofascial tissue for coverage has merit over other options such as fasciocutaneous flap, muscle and myocutaneous flap in this regard.…”

Section: Discussionmentioning

confidence: 99%

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Adipofascial perforator flaps: Its role in reconstruction of soft-tissue defects of lower leg and ankle

Nanda

Sahu

Karki

et al. 2018

Indian J Plast Surg

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Background:Despite advances in surgical skills, adipofascial flaps are still less preferred option for coverage of leg defect. We evaluate the use of perforator-based adipofascial flap in small-to-medium-sized soft-tissue defects in the lower limb.Patients and Methods:After localisation of perforators along the major axial vessels in the lower limb using handheld Doppler, adipofascial flap based on the nearest best perforator of anterior tibial artery, posterior tibial artery and peroneal artery was raised to cover soft-tissue defect in 21 patients. The flap was transposed over the defect and covered by split-skin graft. Donor site was primarily closed. Flap complications, functional and aesthetic outcomes are noted in follow-up.Results:There was partial loss of flap in five patients. After debridement and dressings, split-skin grafting was done for four patients and one patient was managed with local flap. Scar over the flap was stable with no reports of recurrent ulceration or breakdown of wound in 6-month follow-up. Four of five patients reported adequate healing of the fractured bone. Average visual analogue score was 8.24/10 for appearance of donor site as evaluated by the patient.Conclusions:Perforator-based adipofascial flap is a good alternative for coverage of small-to-medium-sized soft-tissue defect of the leg, particularly over the malleolus and lower part of the leg. Use of adipofascial tissue and primary closure of the donor site causes minimal donor-site morbidity. Adipofascial perforator flap provides aesthetically superior recipient-site scar with satisfactory functional outcome.

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Section: Discussionmentioning

confidence: 99%

“…[ 2 3 ] Using Doppler, adipofascial tissue based on perforator can be easily raised in the lower limb sparing its major neurovascular structures. [ 4 ] With this modification, we have evaluated the use of adipofascial perforator flap for covering small-to-medium-sized soft-tissue defect in the lower limb.…”

Section: Introductionmentioning

confidence: 99%

Adipofascial perforator flaps: Its role in reconstruction of soft-tissue defects of lower leg and ankle

Nanda

Sahu

Karki

et al. 2018

Indian J Plast Surg

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“…From the practitioners' point of view, a discovery of this type of flaps was especially important because of its structural characteristics and lack of reliable flap locations for lower leg area 6 . Patient studies showed that flaps are the best choice when it comes to the lower leg reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery

et al. 2019

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Background/Aim. Lower-leg septocutaneous system of perforating blood vessels represents the vascular basis of fasciocutaneous flaps. Additionally, it is of a particular importance when designing distally based fasciocutaneous flaps which represent the "workhorse" in the reconstruction of the distal third of the lower leg and foot. The aim of this study was to analyse the vascular anatomy of posterior tibial artery and its septocutaneous (fasciocutaneous) perforating arterial vessels. Methods. The dissection was conducted on 20 fetuses of both sexes and of gestational age from 20 to 28 weeks. Cluster analysis was applied to the data on vascular anatomy of posterior tibial artery and its septocutaneous performating arterial vessels. Results. A total of 212 perforating arterial vessels was identified. The average number of perforating arterial vessels was 5.32 (ranging from 4 to 7). It

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Lower Limb Muscle Flaps

Bui

Rizzo

2020

Clinics in Podiatric Medicine and Surgery

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Perforator flap: A novel method for providing skin cover to lower limb defects

Cited by 7 publications

References 11 publications

Adipofascial perforator flaps: Its role in reconstruction of soft-tissue defects of lower leg and ankle

Adipofascial perforator flaps: Its role in reconstruction of soft-tissue defects of lower leg and ankle

Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery

Lower Limb Muscle Flaps

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