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The free or pedicled saphenous flap.
1Department of Plastic and Reconstructive Surgery, Clinical Medicine, University of Tsukuba, Japan.
Annals of Plastic Surgery
|October 1, 1988
Summary
The Acland saphenous flap, a versatile vascularized tissue transfer, offers thin, pliable coverage for defects in extremities and intraoral regions. Its adaptability allows for combined reconstructions, including bone and nerve, with minimal donor site morbidity.
Area of Science:
- Plastic and Reconstructive Surgery
- Microsurgery
- Tissue Engineering
Background:
- The Acland saphenous flap is a septocutaneous flap utilizing saphenous vessels and the great saphenous vein.
- Soft tissue coverage is a critical aspect of reconstructive surgery, particularly for complex defects.
Observation:
- This report details the successful application of the Acland saphenous flap in two patients requiring soft tissue reconstruction.
- The flap demonstrated thin, pliable skin and a long, robust pedicle suitable for complex reconstructions.
Findings:
- The saphenous flap offers versatility, allowing integration with sartorius muscle, sensory nerves, or bone (femur/tibia).
- Donor site defects were closed directly, resulting in no functional deficits for the patients.
- The flap is ideal for thin defects demanding mobility, such as those in extremities or the intraoral cavity.
Implications:
- This flap serves as a valuable tool for reconstructing various organ losses, including musculocutaneous, osteocutaneous, and vascularized nerve grafts.
- The Acland saphenous flap provides a reliable option for challenging soft tissue defects with favorable functional and aesthetic outcomes.