"On demand" posterior tibial artery perforator flaps: a versatile surgical procedure for reconstruction of soft tissue defects of the leg after tumor excision

Annals of Plastic Surgery
Enrico RobottiBernardo Righi

Abstract

Relatively small soft-tissue defects of the lower leg following tumor excision are usually treated, especially in older patients, by split-thickness skin grafting. On specific sites where periosteum or paratenon is exposed, as well as when a skin graft is best avoided for cosmetic reasons, an excellent alternative option is the use of posterior tibial artery perforator flaps.Such flaps are designed and elevated "on demand," ie, according to the defect location and on whichever perforator is best found suited to supply the flap and allow adequate transposition.However, operative time is longer, and the surgeon needs to be judicious in dissection, as well as versatile in choosing the best flap design after identifying a suitable perforator.Between 2003 and 2008, 24 patients underwent this procedure, with uniformly successful result except for 2 partial flap necrosis.The advantages of posterior tibial artery perforator flaps are a quick and usually safe procedure, which provides good contour with excellent color, texture, and thickness match, with long-term stability of the reconstruction at the expense of minimal donor-site morbidity.

References

Jan 1, 1991·British Journal of Plastic Surgery·H HyakusokuM Fumiiri
Apr 1, 1991·British Journal of Plastic Surgery·H A ShalabyH Ayad
Mar 1, 1991·Annals of Plastic Surgery·I Koshima, S Soeda
Jan 1, 1990·British Journal of Plastic Surgery·G I TaylorG McCarten
Jan 1, 1990·Journal of Reconstructive Microsurgery·L K HungP C Leung
May 1, 1990·Plastic and Reconstructive Surgery·A C Masquelet, M C Romana
Apr 1, 1986·Nurse Education Today·D F Cormack
Jul 1, 1986·British Journal of Plastic Surgery·J AmaranteR Soares
Dec 1, 1985·Annals of Plastic Surgery·W Y HwangT S Chang
Sep 1, 1985·Plastic and Reconstructive Surgery·C CarriquiryL O Vasconez
Sep 1, 1993·British Journal of Plastic Surgery·W C WuY L Lam
Oct 23, 1997·British Journal of Plastic Surgery·M W ErdmannA A Quaba
Nov 5, 1997·Plastic and Reconstructive Surgery·T P WhetzelR B Stokes
Dec 16, 1998·British Journal of Plastic Surgery·V VenkataramakrishnanO Villafane
May 4, 1999·International Journal of Cancer. Journal International Du Cancer·M R KaragasL A Mott
Dec 3, 1999·International Journal of Dermatology·G PearsonA S Boyd
Nov 25, 2000·British Journal of Plastic Surgery·N S NiranjanP Govilkar
Apr 17, 2001·Plastic and Reconstructive Surgery·F C WeiH C Chen
Dec 4, 2003·Annals of Plastic Surgery·Isao KoshimaYoshio Takahashi
Jan 16, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Mohammed G Ellabban, Neil Bremner
Jan 16, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Aidan Martin Fitzgerald

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