Island medial plantar artery perforator flap for reconstruction of plantar defects

被引：45
|
作者：
Koshima, Isao [1 ]
Narushima, Mitsunaga [1 ]
Mihara, Mokoto [1 ]
Nakai, Ikuo [1 ]
Akazawa, Satoshi [1 ]
Fukuda, Norio [1 ]
Watanabe, Yorikatsu [1 ]
Nakagawa, Masahiro [1 ]
机构：
[1] Univ Tokyo, Grad Sch Med, Dept Plast & Reconstruct Surg, Tokyo, Japan
来源：
ANNALS OF PLASTIC SURGERY | 2007年 / 59卷 / 05期
关键词：
medial plantar artery perforator flap; microsurgery; plantar defect; flow-through flap; aterolateral thigh flap;
D O I：
10.1097/SAP.0b013e3180315528
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Three cases in which island medial plantar artery perforator flaps were successfully transferred for coverage of the plantar defects are described. This perforator flap is different from the medial plantar flap based on the medial plantar artery. The flap has no fascial component and is nourished only with the perforator of the medial plantar vessel. Therefore, transection of the medial plantar artery is usually unnecessary. This flap can cover defects on the forefoot and heel without transaction of the medial plantar system. The advantages of this flap are no need for deep or long dissection for the medial plantar vessel, no exposure of the plantar sensory nerve, a short time for flap elevation, minimal donor-site morbidity, relatively large flap survival, and no damage of both the posterior tibial and medial plantar neurovascular systems.
引用
收藏
页码：558 / 562
页数：5
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