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Reconstruction of pretibial defect using pedicled perforator flaps
In Soo Shin1, Dong Won Lee, Dong Kyun Rah
1Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
Archives of Plastic Surgery
|August 9, 2012
Summary
Variable pedicled perforator flaps offer a safe and effective solution for challenging pretibial defects. This technique overcomes limitations of local and free flaps, providing a versatile option for reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Pretibial defects present significant reconstructive challenges due to limited local tissue mobility.
- Traditional local flaps and free flaps have inherent disadvantages for pretibial area coverage.
- Variable pedicled perforator flaps were explored to address these limitations.
Purpose of the Study:
- To evaluate the efficacy and safety of variable pedicled perforator flaps for pretibial defect coverage.
- To present a novel approach for reconstructing challenging soft tissue defects in the anterior tibial region.
Main Methods:
- Retrospective analysis of eight patients with anterior tibial defects.
- Application of posterior tibial artery-based and peroneal artery-based perforator flaps.
- Coverage of the raw surface with split-thickness skin grafts.
Main Results:
- No major complications were reported in any of the eight patients.
- Flaps ranged from 18 to 135 cm², with an average size of 63.8 cm².
- No new functional deficits of the lower leg were observed postoperatively.
Conclusions:
- Pedicled perforator flaps are a viable alternative for pretibial defect reconstruction.
- This technique offers a simple, safe, and versatile solution for surgeons.
- The procedure demonstrates good outcomes with minimal complications.
