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  • Title: [Clinical application of different perforator neurofasciocutaneous flaps at the distal legs].
    Author: Liang G, Li J, Sun JP.
    Journal: Zhonghua Zheng Xing Wai Ke Za Zhi; 2012 Sep; 28(5):344-6. PubMed ID: 23259308.
    Abstract:
    OBJECTIVE: To investigate the clinical application of different perforator neurofasciocutaneous flaps at the distal legs for defects at the lower legs and feet. METHODS: 24 patients with defects at the lower legs and feet were treated with five kinds of perforator neurofasciocutaneous flaps, including 7 flaps with the retrolateral supramalleolar cutaneous perforator, 2 flaps with the lateral retromalleolar perforator, 2 flaps with the higher cutaneous perforator of the peroneal artery, 8 flaps with the anterolateral supramalleolar cutaneous perforator of the peroneal artery, 5 flaps with the medial supramalleolar cutaneous perforator of the posterior tibial artery. The flap size ranged from 5 cm x 4 cm-14 cm x 12 cm. RESULTS: Partial necrosis occurred at the distal end of flap in one case. All the other flaps survived completely with primary healing. 15 cases were followed up for 1-36 months with satisfactory cosmetic and functional results. CONCLUSIONS: Suitable perforator neurofasciocutaneous flaps at the distal legs can be selected for differently located defects at the lower legs and feet, leaving comparatively less morbidity at donor site.
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