scholarly journals Restoration of middle third leg soft tissue defects using a distally based hemigastrocnemius flap

2021 ◽  
Vol 19 (2) ◽  
pp. 319
Author(s):  
WaelMohamed Ayad ◽  
Alhosiney Salalheldin Elhosiney ◽  
AhmedAbu ElsoudSalim
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Distally Based ◽  
Tissue Defects

Reconstruction of soft tissue defects of the lower leg with the distally based medial adipofascial flap

1994 ◽  
Vol 47 (2) ◽  
pp. 132-137 ◽  
Author(s):  
Sin-Daw Lin ◽  
Chung-Sheng Lai ◽  
Chih-Kang Chou ◽  
Chin-Wei Tsai ◽  
Chin-Cheng Tsai
Keyword(s):  
Soft Tissue ◽  
Lower Leg ◽  
Soft Tissue Defects ◽  
Adipofascial Flap ◽  
Distally Based ◽  
Tissue Defects

Distally Based Posterior Tibial Artery Cross-Bridge Flap for Reconstruction of Contralateral Leg Soft Tissue Defects

2009 ◽  
Vol 26 (03) ◽  
pp. 159-164 ◽  
Author(s):  
Fengfeng Li ◽  
Peihua Cai ◽  
Cunyi Fan ◽  
Bingfang Zeng ◽  
Yimin Chai ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Posterior Tibial Artery ◽  
Soft Tissue Defects ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Cross Bridge ◽  
Distally Based ◽  
Tissue Defects

scholarly journals Distally based peroneal artery perforator-plus fasciocutaneous flap in the reconstruction of soft tissue defects over the distal forefoot: a retrospectively analyzed clinical trial

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Ping Peng ◽  
Zhaobiao Luo ◽  
Guohua Lv ◽  
Jiangdong Ni ◽  
Jianwei Wei ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Kirschner Wire ◽  
Peroneal Artery ◽  
Soft Tissue Defects ◽  
Partial Necrosis ◽  
Total Length ◽  
Distally Based ◽  
Artery Perforator ◽  
Pedicle Width ◽  
Tissue Defects

Abstract Background Distally based peroneal artery perforator-plus fasciocutaneous (DPAPF) flaps are widely used for reconstructing soft-tissue defects of the lower extremity. However, reports on the reconstruction of the defects over the distal forefoot using the DPAPF flaps are scarce. Herein, we describe our experience on the reconstruction of these defects using DPAPF flaps in a considerable sample size. Methods Between February 2005 and August 2019, a total of 56 DPAPF flaps in 56 patients were used to reconstruct soft-tissue defects in the forefoot. In order to reduce the length of fascial pedicle and the total length of the DPAPF flaps, the ankles were fixed in dorsiflexion using a Kirschner wire before designing the flaps. The flaps were elevated by the anterograde–retrograde approach. Patient factors and flap factors were compared between the “survival” and “partial necrosis” groups. Results Overall, 47 flaps had survived completely in one stage. Partial necrosis developed in nine flaps, with only one remnant defect covered using a local flap. By fixing the ankles in dorsiflexion, the length of the fascial pedicle was reduced approximately 2.35 ± 0.58 cm, the total length of the flap was simultaneously shortened by the same amount as the length of the fascial pedicle. The width of the fascia pedicle varied from 3.0 cm to 6.0 cm. The fascial pedicle width > 4 cm was found in 21 flaps. The partial necrosis rate of the DPAPF flaps with the top edge located in the 8th zone was significantly lower than that in the 9th zone (p < 0.05). Conclusions The DPAPF flaps can be effectively used to reconstruct the defects over the distal forefoot because of convenient harvest and reliability. By fixing the ankle in dorsiflexion with Kirschner wire and widening the fascial pedicle appropriately, the top edge and LWR of the flaps will be decreased, and thus the procedures are helpful for the flaps survival.

scholarly journals Distally based peroneal artery perforator-plus fasciocutaneous flap in the reconstruction of soft tissue defects over the distal forefoot: a retrospectively analyzed clinical trial

2020 ◽  
Author(s):  
Ping Peng ◽  
Zhaobiao Luo ◽  
Guohua Lv ◽  
Jiangdong Ni ◽  
Jianwei Wei ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Kirschner Wire ◽  
Fasciocutaneous Flap ◽  
Peroneal Artery ◽  
Soft Tissue Defects ◽  
Patient Factors ◽  
Partial Necrosis ◽  
Distally Based ◽  
Artery Perforator ◽  
Tissue Defects

Abstract Background: Distally based peroneal artery perforator-plus fasciocutaneous (DPAPF) flaps are widely used for reconstructing soft-tissue defects of the lower extremity. However, large studies on this topic, especially DPAPF flaps use for reconstruction of defects over the distal forefoot, are scarce. Herein, we describe our experience on the reconstruction of defects over the distal forefoot using DPAPF flaps.Methods: Between February 2005 and August 2019, 56 DPAPF flaps were used to reconstruct soft-tissue defects in the forefoot. The ankles were fixed in dorsiflexion using a Kirschner wire. Patient factors and flap factors were compared between the “survival” and “partial necrosis” groups.Results: Overall, 47 flaps had survived completely in one stage. Partial necrosis developed in nine flaps, with only one remnant defect covered using a local flap. The distance between the pivot point and recipient area was reduced by fixing the ankles in dorsiflexion. The partial necrosis rate of the DPAPF flaps with the top edge located in the 8th zone was significantly lower than that in the 9th zone (p < 0.05).Conclusions: In combination with fixing of the ankles in dorsiflexion using a Kirschner wire, DPAPF flap is a good option in reconstructing a defect over the distal forefoot.

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