Reconstruction of soft tissue defect of the extremity with the perforator flap from inguinal region  

作　　者：HUANG Dong WANG Hai-wen WANG Hong-gang WU Wei-zhi ZHAO Cheng-yi 

机构地区：[1]Department of Orthopedics, No. 2 People's Hospital of GuangdongProvince, Guangzhou, Guangdong 510317, China [2]Department of Orthopedics, Hand Surgery Hospital of Xin JiangNan, Guangzhou, Guangdong 510228, China [3]Department of Orthopaedics & Microsurgery, First AffiliatedHospital of Sun Yat-sen University, Guangzhou, Guangdong510080, China [4]Department of Orthopaedics, Zhongshan City People's Hospital,Zhongshan, Guangdong 528403, China

出　　处：《Chinese Medical Journal》2009年第23期2861-2864,共4页中华医学杂志（英文版）

基　　金：This research was supported by a grant from the Natural Science Foundation of Guangdong Province （No. 8151031701000001）.

摘　　要：Background The perforator flap has become a very useful reconstructive means of soft tissue defect of extremities. The perforator flap from the inguinal region has advantages that include the ability to cover a large area with little donor site morbidity and provision of suitable thickness for reconstruction. Methods From July 1, 2005 to June 30, 2007, 10 patients with various types of soft tissue defect underwent reconstruction with 10 perforator flaps from the inguinal region. Six flaps were applied to the upper extremities and four flaps to the lower extremities. The dimensions of the transferred flaps ranged from 7-30 cm in length and 4-10 cm in width. Results The postoperative course of all 10 flaps was uneventful and all flaps survived. Distal small partial necrosis was observed in one case due to arterial insufficiency of the distal part of the flap. All patients were satisfied with the functional and esthetic resurfacing outcome. Conclusion Use of perforator flap from the inguinal region could overcome the disadvantages of the traditional free groin flap, and represents a safe and useful tool for coverage of soft tissue defects.Background The perforator flap has become a very useful reconstructive means of soft tissue defect of extremities. The perforator flap from the inguinal region has advantages that include the ability to cover a large area with little donor site morbidity and provision of suitable thickness for reconstruction. Methods From July 1, 2005 to June 30, 2007, 10 patients with various types of soft tissue defect underwent reconstruction with 10 perforator flaps from the inguinal region. Six flaps were applied to the upper extremities and four flaps to the lower extremities. The dimensions of the transferred flaps ranged from 7-30 cm in length and 4-10 cm in width. Results The postoperative course of all 10 flaps was uneventful and all flaps survived. Distal small partial necrosis was observed in one case due to arterial insufficiency of the distal part of the flap. All patients were satisfied with the functional and esthetic resurfacing outcome. Conclusion Use of perforator flap from the inguinal region could overcome the disadvantages of the traditional free groin flap, and represents a safe and useful tool for coverage of soft tissue defects.

关 键 词：soft tissue defect RECONSTRUCTION perforator flap 

分 类 号：Q813.1[生物学—生物工程] S858.287.2[农业科学—临床兽医学]