Distally based perforator sural flaps for foot and ankle reconstruction  

作　　者：Shi-Min Chang Xiao-Hua Li Yu-Dong Gu 

机构地区：[1]Department of Orthopedic Surgery, Yangpu Hospital, Tongji University School of Medicine [2]Department of Hand Surgery, Huashan Hospital, Fudan University [3]Key Laboratory of Hand Reconstruction, Ministry of Health [4]Shanghai Key Laboratory of Peripheral Nerve and Microsurgery

出　　处：《World Journal of Orthopedics》2015年第3期322-330,共9页世界骨科杂志（英文版）

基　　金：Supported by Natural Science Fundation of China(NSFC),No.81271993;Shanghai Municipal Health and Family Planning Commission,No.201440352

摘　　要：Distally based perforator sural flaps from the posterolateral or posteromedial lower leg aspect are initially a neurofasciocutaneous flap that can be transferred reversely to the foot and ankle region with no need to harvest and sacrifice the deep major artery. These flaps are supplied by a perforating artery issued from the deep peroneal artery or the posterior tibial artery, and the chainlinked adipofascial neurovascular axis around the sural/saphenous nerve. It is a versatile and reliable technique for soft-tissue reconstruction of the heel and ankle region with 180-degrees rotation. In this paper, we present its developing history, vascular basis, surgical techniques including flap design and elevation, flap variations in pedicle and component, surgical indications, and illustrative case reports with different perforating vessels as pivot points for foot and ankle coverage.Distally based perforator sural flaps from the posterolateral or posteromedial lower leg aspect are initiallya neurofasciocutaneous flap that can be transferred reversely to the foot and ankle region with no need to harvest and sacrifice the deep major artery. These flaps are supplied by a perforating artery issued from the deep peroneal artery or the posterior tibial artery, and the chainlinked adipofascial neurovascular axis around the sural/saphenous nerve. It is a versatile and reliable technique for soft-tissue reconstruction of the heel and ankle region with 180-degrees rotation. In this paper, we present its developing history, vascular basis, surgical techniques including flap design and elevation, flap variations in pedicle and component, surgical indications, and illustrative case reports with different perforating vessels as pivot points for foot and ankle coverage.

关 键 词：Fasciocutaneous FLAP Distally BASED FLAP Foot and ANKLE PERFORATOR FLAP Neurocutaneous FLAP SURAL FLAP PROPELLER FLAP 

分 类 号：R658.3[医药卫生—外科学]