Amiruddin Muhammad Usman, Hassan Ali, Sikandar Hafiz Saqib, Razzaq Tanzeela, Siyyam Muhammad
UA Aesthetics, Lahore, Pakistan.
Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom.
Eplasty. 2025 Mar 17;25:e11. eCollection 2025.
The reconstruction of soft tissue near the heel area is challenging, especially after wheel-spoke injuries. Different varieties of the reverse sural artery flap technique are routinely used in complex locoregional areas for reconstructive surgery.
This study proposes an innovative surgical method involving the use of a rotation-advancement fasciocutaneous flap based on peroneal artery perforators. In this study, 30 patients with soft-tissue defects in the lower third of the leg, including defects in the ankle and heel areas, were treated with this flap.
The study included 19 women and 11 men. The mean age of the patients was 27.60 years. The most common cause of the defect was wheel-spoke injury due to a road traffic accident. In the authors' experience, the flap survival rate was approximately 100%. Four patients had only marginal necrosis of the distal tip, and 2 patients had minor wound infections; these patients were managed cautiously until their healing was complete.
For distal leg reconstruction, the authors recommend the UAD flap over the traditional sural flap because of its lower donor-site morbidity and better aesthetic appearance.
足跟区域附近软组织的重建具有挑战性，尤其是在车轮辐条伤之后。不同类型的逆行腓肠神经营营皮瓣技术常用于复杂的局部区域进行重建手术。
本研究提出一种创新的手术方法，即使用基于腓动脉穿支的旋转推进筋膜皮瓣。在本研究中，30例小腿下1/3软组织缺损患者，包括踝关节和足跟区域的缺损，接受了该皮瓣治疗。
该研究包括19名女性和11名男性。患者的平均年龄为27.60岁。缺损的最常见原因是道路交通事故导致的车轮辐条伤。根据作者的经验，皮瓣存活率约为100%。4例患者仅远端尖端有边缘性坏死，2例患者有轻微伤口感染；对这些患者进行了谨慎处理，直至完全愈合。
对于小腿远端重建，作者推荐使用UAD皮瓣而非传统的腓肠神经营营皮瓣，因为其供区并发症更低且美观效果更好。
