Reconstruction of the lateral malleolus and calcaneus region using free thoracodorsal artery perforator flaps

Microsurgery
Sang Wha KimYoun Hwan Kim

Abstract

Reconstruction of the lateral malleolus or calcaneus region is challenging because of poor vascularity, minimal presence of soft tissue, and difficulties with flap positioning during and after the operation. In many cases, local flaps are limited in terms of size, durability, and vascularity. Free tissue transfer can be useful for complicated wounds. We report here on the results of the reconstruction in this region using free thoracodorsal artery perforator flaps. Between October 2010 and October 2013, 16 cases of lateral malleolus or calcaneus defects were reconstructed using free thoracodorsal artery perforator flaps. The defects varied from 2 × 5 cm(2) to 12 × 16 cm(2), and the flaps from 3 × 5 cm(2) to 10 × 15 cm(2). Two cases were reconstructed using chimeric-pattern flaps. Only the superficial adipose layers were harvested for all the flaps, without further thinning or debulking process. Five cases with complications occurred, including three cases of partial necrosis of the flap and two cases of venous congestion caused by thrombosis and compression of the venous pedicle, and one flap was totally lost. The mean follow-up duration was 11.8 months. All the patients were able to wear shoes. All but one were able to walk. T...Continue Reading

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Citations

Oct 11, 2017·Microsurgery·Chang-Yi ChouShun-Cheng Chang
Nov 7, 2019·Annals of Plastic Surgery·Bassem Elfeki, Seokchan Eun
Apr 23, 2019·BioMed Research International·Jin Su KimHong Seop Lee
Mar 7, 2021·International Journal of Surgery Case Reports·Ichiro Tonogai, Koichi Sairyo

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