Objective To discuss the application of medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus for repairing small wounds around ankle Methods From Jan. 2005 to Jun. 200...Objective To discuss the application of medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus for repairing small wounds around ankle Methods From Jan. 2005 to Jun. 2009,10 cases with small wounds around ankle展开更多
A 24-year-old male presented after being involved in a motorcycle accident and was found to have soft tissue defects of the knee with exposure of patella.Due to the severe injury from the popliteal fossa to the poster...A 24-year-old male presented after being involved in a motorcycle accident and was found to have soft tissue defects of the knee with exposure of patella.Due to the severe injury from the popliteal fossa to the posterior aspects of the lower leg,repair with a free flap from anterolateral thigh perforator was planned instead of local calf muscle flap.Preoperative angiography was performed,and it showed that superior medial genicular perforator was patent compared with unreliable filling of the superior lateral genicular perforator.The soft tissue defect was repaired using the superior medial genicular perforator as the recipient vessel.This was performed by creating perforator to perforator anastomosis(supermicrosurgery).The flap survived successfully,and the patient was able to ambulate in a few weeks without serious complications.This case indicates that superior medial genicular perforator can be used as the recipient vessel for covering the soft tissue defects of the knee caused by blunt injury.展开更多
文摘Objective To discuss the application of medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus for repairing small wounds around ankle Methods From Jan. 2005 to Jun. 2009,10 cases with small wounds around ankle
文摘A 24-year-old male presented after being involved in a motorcycle accident and was found to have soft tissue defects of the knee with exposure of patella.Due to the severe injury from the popliteal fossa to the posterior aspects of the lower leg,repair with a free flap from anterolateral thigh perforator was planned instead of local calf muscle flap.Preoperative angiography was performed,and it showed that superior medial genicular perforator was patent compared with unreliable filling of the superior lateral genicular perforator.The soft tissue defect was repaired using the superior medial genicular perforator as the recipient vessel.This was performed by creating perforator to perforator anastomosis(supermicrosurgery).The flap survived successfully,and the patient was able to ambulate in a few weeks without serious complications.This case indicates that superior medial genicular perforator can be used as the recipient vessel for covering the soft tissue defects of the knee caused by blunt injury.
