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  • Title: [Repair of soft tissue defect in hand or foot with lobulated medial sural artery perforator flap].
    Author: Fengjing Z, Jianmin Y, Xingqun Z, Liang M, Longchun Z, Yibo X, Peng W, Zhen Z.
    Journal: Zhonghua Zheng Xing Wai Ke Za Zhi; 2015 Nov; 31(6):418-21. PubMed ID: 27055318.
    Abstract:
    OBJECTIVE: To explore the clinical effect of the lobulated medial sural artery perforator flap in repairing soft tissue defect in hand or foot. METHODS: Since March 2012 to September 2014, 6 cases with soft tissue defects in hands or feet were treated by lobulated medial sural artery flaps pedicled with 1st musculo-cutaneous perforator and 2st musculo-cutaneous perforator of the medial sural artery. The size of the flaps ranged from 4.5 cm x 10.0 cm to 6.0 cm x 17.0 cm. RESULTS: 5 cases of lobulated flap survived smoothly, only 1 lobulated flap had venous articulo, but this flap also survived after the articulo was removed by vascular exploration. All flaps had desirable appearance and sensation and the two-point discrimination was 6 mm in mean with 4 to 12 months follow-up (average, 7 months). Linear scar was left in donor sites in 3 cases and skin scar in 3 cases. There was no malfunction in donor sites. CONCLUSIONS: Lobulated medial sural artery perforator flap is feasible and ideal method for the treatment of soft tissue defect in hand or foot with satisfactory effect.
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