Ruan Hong-Jiang, Cai Pei-Hua, Schleich Arno R, Fan Cun-Yi, Chai Yi-Min
Department of Orthopedic Surgery, The Sixth People's Hospital, Jiao Tong University, Shanghai, China.
Ann Plast Surg. 2010 Apr;64(4):451-7. doi: 10.1097/SAP.0b013e3181b0c4f6.
The peroneal artery perforator flap and its modifications have been widely used for coverage of soft tissue defects of ankle and foot in the past decade. In this article, we report on a series of upper knee, ankle, and foot reconstructions with a proximally or distally based extended peroneal artery perforator (EPAP) flap supplied by distinct perforating branches off the proximal or distal peroneal artery. Total pedicle length obtained ranged from 6 to 12 cm. Twelve patients with soft tissue defects of the lower extremity underwent reconstruction using the EPAP flap. The flaps were designed with the sizes from 10 x 6 cm to 25 x 15 cm. All 12 flaps survived completely without complications. Our experience demonstrates that the EPAP flap is reliable and versatile and can provide a large amount of soft tissue for coverage of defects in the leg anywhere from knee to forefoot obviating the need for free tissue transplantation.
在过去十年中，腓动脉穿支皮瓣及其改良术式已广泛用于覆盖踝部和足部的软组织缺损。在本文中，我们报告了一系列用上段或下段带蒂的腓动脉穿支皮瓣（EPAP）修复膝上、踝部和足部的病例，这些皮瓣由腓动脉近端或远端发出的不同穿支供血。获得的总蒂长为6至12厘米。12例下肢软组织缺损患者接受了EPAP皮瓣修复。皮瓣设计大小为10×6厘米至25×15厘米。所有12个皮瓣均完全存活，无并发症发生。我们的经验表明，EPAP皮瓣可靠且用途广泛，可为膝至前足任何部位的小腿缺损提供大量软组织覆盖，无需进行游离组织移植。
