Giri Sanjay Kumar, Suba Santanu, Bandyopadhyay Ahana, Sahu R K, Kanungo Aparna, Minz Reena
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Indian J Plast Surg. 2024 Aug 16;57(Suppl 1):S50-S57. doi: 10.1055/s-0044-1788922. eCollection 2024 Dec.
The medial sural artery perforator (MSAP) flap is reliable in resurfacing defects of the popliteal fossa. There is possibility of resurfacing the popliteal fossa defects after postburn contracture release with scarred MSAP flaps with good overall long-term outcomes. A study was conducted from June 2017 to July 2023 to evaluate the functional and surgical scar aesthetic outcome in patients with soft-tissue defects in the popliteal fossa after postburn contracture release that were reconstructed using scarred and unscarred MSAP flap with 10 patients in each group. The clinical outcome was assessed in terms of the perioperative and late postoperative complications, range of motion of the knee joint along with surgical scar outcome using the Patient and Observer Scar Assessment Scale (POSAS). The functional results in the scar tissue flap group were comparable with those in the normal tissue flap group, but the aesthetic outcome of surgical scar was found to be better in the normal tissue flap group. The MSAP flap provides ideal tissue for soft-tissue reconstruction with minimal donor site morbidity for popliteal fossa defects after postburn contracture release in both the scarred and unscarred flap groups.
腓肠内侧动脉穿支（MSAP）皮瓣在修复腘窝缺损方面可靠。使用瘢痕化的MSAP皮瓣在烧伤后挛缩松解后修复腘窝缺损并取得良好的长期总体效果是有可能的。2017年6月至2023年7月进行了一项研究，以评估使用瘢痕化和未瘢痕化的MSAP皮瓣重建烧伤后挛缩松解后腘窝软组织缺损患者的功能和手术瘢痕美学效果，每组10例患者。通过围手术期和术后晚期并发症、膝关节活动范围以及使用患者和观察者瘢痕评估量表（POSAS）评估手术瘢痕效果来评估临床结果。瘢痕组织皮瓣组的功能结果与正常组织皮瓣组相当，但正常组织皮瓣组的手术瘢痕美学效果更好。对于烧伤后挛缩松解后的腘窝缺损，在瘢痕化和未瘢痕化皮瓣组中，MSAP皮瓣都为软组织重建提供了理想的组织，供区并发症最少。
