Posterior Tibial Artery Perforator Flap Series of Cases

Abstract

Coverage defects in the leg, are a difficult problem to confront due to the characteristics of the anatomical region. For this reason, different reconstruction strategies have been developed, being the fasciocutaneous perforator flaps the most frequently used. The aim of this manuscript is to present the therapeutic alternative, to describe the surgical technique, the results and the complications of the posterior tibial artery perforator flap (CPATP) for the treatment of coverage defects. We performed a retrospective review of patients treated with a fasciocutaneous flap at the level of the leg operated at our center. We analyzed preoperative demographic variables. The surgical technique and the indications in each patient are described. Finally, the postoperative variables such as complications and the survival of the flap were analyzed. Twelve patients treated with CPATP were included. All male. The average age at the time of surgery was 52 years (range 29-77 years). The maximum follow-up of 55 months, with a minimum of 5 months (average 18 months). There were two flaps with suffering that reverted spontaneously, a partial failure and a total failure. The posterior tibial artery perforator flap should be considered a valid option in the treatment of wounds of small and medium size of the leg. They provide similar tissue in thickness, texture and color in the recipient site with good clinical and aesthetic results.

The Versatility of the Pedicled Medial Sural Artery Perforator Flap: From Simple to Its Chimeric Pattern and Clinical Experience with 37 Cases

“…Perforator flaps have long been the first choice to cover complex defects because they can be harvested with minimal donor-site morbidity. 32,33 Different options of flaps for defects in the knee, popliteal fossa, and upper lower leg are based on the anterior/posterior tibial artery, 34,35 the peroneal artery, 36 and the medial sural artery. 8,37 These flaps are often rotated around the respective perforator in a propeller fashion to extend the range of defects that can be covered with a local flap solution.…”