scholarly journals Reconstruction of Large Area of Deep Wound in the Foot and Ankle with Chimeric Anterolateral Thigh Perforator Flap

2021 ◽  
Author(s):  
Run‐guang Li ◽  
Can‐jun Zeng ◽  
Song Yuan ◽  
Ji‐jie Hu ◽  
Ping Zhang ◽  
...  



2017 ◽  
Vol 02 (02) ◽  
pp. e111-e117
Author(s):  
Zhao Pan ◽  
Ping Jiang ◽  
Shan Xue ◽  
Jian Wang

Background As understanding of the blood supply by superficial circumflex iliac artery (SCIA) to the skin and iliac bone has improved and the use of a perforator flap has become accepted, most previous drawbacks of SICA iliac osteocutaneous flaps, such as bulky flap, small diameter, and inadequate blood supply to bone, can now be overcome. Here, the authors present their experience of using such flaps for the reconstruction of complex defects in the foot and ankle with a focus on feasibility and safety. Methods A retrospective review of patients who underwent foot and ankle reconstruction using an SCIA iliac osteocutaneous flap between 2010 and 2015 was performed to assess outcomes. Results Four patients who underwent treatment with SCIA iliac osteocutaneous flaps and eight patients treated with fabricated chimeric iliac osteocutaneous flaps were identified. The iliac segment size ranged from 1 × 3 × 0.7 to 3 × 6 × 1 cm and the skin paddle size ranged from 1 × 4 to 8 × 16 cm. All flaps survived uneventfully except for marginal necrosis in one anterolateral thigh (ALT) flap and one iliac osteocutaneous flap. The median time to bone union was 4 months. All patients were able to walk in normal footwear and none developed significant complications at the donor site. Conclusion The use of free SCIA iliac osteocutaneous and fabricated chimeric iliac osteocutaneous flaps provides an alternative for treating small- and medium-sized bone defects (smaller than 8 cm) along with soft tissue defects in the foot and ankle region.



2016 ◽  
Vol 50 (6) ◽  
pp. 367-374 ◽  
Author(s):  
Songlin Xie ◽  
Xiangwu Deng ◽  
Yanmin Chen ◽  
Dajiang Song ◽  
Kanghua Li ◽  
...  


2006 ◽  
Vol 22 (04) ◽  
Author(s):  
Andreas Gravvanis ◽  
Dimosthenis Tsoutsos ◽  
Petros Panayotou ◽  
Thomais Iconomou ◽  
Stefanos Padopoulos




Author(s):  
W. Duan ◽  
Z. Xu ◽  
E. Zhang ◽  
F. Liu ◽  
W. Dai ◽  
...  




2006 ◽  
Vol 117 (3) ◽  
pp. 1004-1008 ◽  
Author(s):  
Wen-Guei Yang ◽  
Yuan-Cheng Chiang ◽  
Fu-Chan Wei ◽  
Guan-Ming Feng ◽  
Kuang-Te Chen


2021 ◽  
Author(s):  
Xuelai Yin ◽  
Xiaofeng Xu ◽  
Huan Shi ◽  
Chenping Zhang ◽  
Eugene Poh Hze-Khoong ◽  
...  


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