Use of a pedicled fascial flap based on septocutaneous perforators of the posterior tibial artery for repair of distal lower limb defects

INTRODUCTION: The reconstruction of lesions in the distal third of the leg is one of the challenges for surgeons. In this scenario, the use of posterior tibial perforator flaps is being used more and more in surgical practice due to their versatility and aesthetic results. MATERIALS AND METHODS: This research consists of an integrative review carried out from a bibliographic survey in the PUBMED and Virtual Health Library (BVS) search platforms. After reading the full 20 articles in total, an overlap of four articles present in the two searches was observed, thus resulting in a total of 16 articles included in this review. RESULTS: The treatment of chronic lower limb wounds caused by infection, diabetes mellitus and osteomyelitis has always been a formidable task. Perforator-free flaps are generally recommended as the therapy of choice in the treatment of chronic lower limb wounds. DISCUSSION: The advantages of the application of the posterior tibial artery skin flap is ideal for small leg defects to reconstruct the exposed bone and tendon. As it is local tissue, it substitutes as tissue. The distal posterior tibial artery perforator flap is a beneficial technique, in the plastic and reconstructive surgery field, especially for the treatment of chronic lower extremity wounds. Keyword : CHRONIC WOUNDS, DISTAL POSTERIAL TIBIAL ARTERY, PERFORATOR FLAP, PLASTIC SURGERY

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Posterior Tibial Artery Perforator-Based Fascial Flap for Skin Necrosis and Exposed Extensor Tendon After Revision Total Ankle Replacement

JBJS Case Connector ◽

10.2106/jbjs.cc.n.00089 ◽

2015 ◽

Vol 5 (2) ◽

pp. e37 ◽

Cited By ~ 1

Author(s):

Yoichi Toyoshima ◽

Toshio Maeda ◽

Koei Oh ◽

Osamu Namiki ◽

Hisao Kumamoto ◽

...

Keyword(s):

Skin Necrosis ◽

Extensor Tendon ◽

Posterior Tibial Artery ◽

Total Ankle Replacement ◽

Posterior Tibial ◽

Tibial Artery ◽

Fascial Flap ◽

Ankle Replacement ◽

Artery Perforator

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Reconstruction of Lower One Third Leg Defects in Single Vessel Lower Limb by Medial Hemisoleus Muscle Flap Based on Distal Posterior Tibial Artery Perforators

The Egyptian Journal of Plastic and Reconstructive Surgery ◽

10.21608/ejprs.2018.79714 ◽

2018 ◽

Vol 42 (2) ◽

pp. 291-297

Author(s):

Khaled Reyad ◽

Hany Setta

Keyword(s):

Lower Limb ◽

Muscle Flap ◽

Posterior Tibial Artery ◽

Posterior Tibial ◽

Single Vessel ◽

Tibial Artery

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Reconstruction of Medial Malleolar Defect Using Posterior Tibial Artery Perforator Based Deep Fascial Flap after Malignant Melanoma Ablation

Archives of Hand and Microsurgery ◽

10.12790/ahm.20.0003 ◽

2020 ◽

Vol 25 (2) ◽

pp. 151-155

Author(s):

Jae Won Heo ◽

Yong Hun Kim ◽

Yoon Kyu Chung

Keyword(s):

Malignant Melanoma ◽

Soft Tissue ◽

Soft Tissues ◽

Subcutaneous Tissue ◽

Posterior Tibial Artery ◽

Medial Malleolus ◽

Posterior Tibial ◽

Tibial Artery ◽

Fascial Flap ◽

Thin Skin

The soft tissue structure near the medial malleolus is an area where the bone is covered only with thin skin and subcutaneous tissue without structures like ligaments or tendons. In addition to the above anatomical features, wearing normal footwear should be considered when reconstructing the soft tissues in these areas. Therefore, it may be desirable to restore the original thickness of the soft tissue when performing a reconstruction. The authors reconstructed defects on the medial malleolus of a 50-year-old woman, after wide excision of a malignant melanoma, using only a deep fascial flap based on the posterior tibial artery-based perforator. This technique is thought to be a good option for reconstructing soft tissue defects in this area.

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