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The distally based lateral adipofascial flap

S D Lin¹, C K Chou, T M Lin

¹Department of Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical College, Taiwan.

British Journal of Plastic Surgery

|July 11, 1998

Summary

This study highlights the distally based lateral adipofascial flap for lower leg soft tissue defects. This versatile flap offers good aesthetic outcomes with minimal donor site morbidity.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Microsurgery

Background:

Soft tissue defects in the lower leg present reconstructive challenges.
Preserving the peroneal artery and superficial peroneal nerve is crucial for functional outcomes.
Adipofascial flaps offer a viable option for tissue coverage.

Observation:

A distally based lateral adipofascial flap was utilized in 13 cases.
Flap sizes ranged from 2.0 cm x 5.0 cm to 4.5 cm x 15.0 cm.
The flap was based on either the lowermost perforator or the anterior perforating branch of the peroneal artery.

Findings:

Successful resurfacing of lateral and medial lower leg soft tissue defects was achieved.
The technique avoided sacrifice of the main peroneal artery.

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Minimal donor site morbidity and positive aesthetic results were reported.

Implications:

This flap provides a reliable reconstructive option for lower leg defects.
The technique allows for a wide arc of rotation and preserves the superficial peroneal nerve.
Primary closure of the donor site contributes to favorable outcomes.