Abstract:
BACKGROUND:The proximal peroneal artery perforator (PPAP) flap is a reliable, thin fasciocutaneous flap. The purpose of this article was to report our experience with the use of free PPAP flaps for reconstruction of defects of the distal hand and foot. PATIENTS AND METHODS:From November 2012 to September 2013, 9 patients received reconstruction with 10 free PPAP flaps. The defect locations included the big toe (2 cases), metatarsophalangeal joint (5 cases), dorsal finger (2 cases) and volar finger (1 case). Flaps were raised based on proximal peroneal perforator vessels without sacrificing the peroneal artery. The first dorsal metatarsal artery (5 cases) and digital artery (5 cases) were dissected as recipient vessels. RESULTS:The flap sizes varied from 2.5 x 2 cm to 9 x 5 cm. All of flaps were survival after surgery. One flap suffered from venous thrombosis and was successfully salvaged by performing a venous thrombectomy and vein graft. The donor sites were all primarily closed with minimal morbidities. Follow-up observations were conducted for 7 to 20 months, and all patients had good functional recovery with satisfying cosmetic results. CONCLUSION:Perforators arising from the peroneal artery in the proximal lateral leg can be used to design small, pliable fasciocutaneous flaps. Although the pedicle is short, the vessel diameter is adequate for microvascular anastomosis to the distal foot and hand recipient vessels. The free PPAP flap may be a good option for reconstructing distal hand and foot defects.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Scaglioni MF,Kuo YR,Chen YCdoi
10.1002/micr.22364subject
Has Abstractpub_date
2016-03-01 00:00:00pages
183-90issue
3eissn
0738-1085issn
1098-2752journal_volume
36pub_type
杂志文章相关文献
MICROSURGERY文献大全abstract::The distally-based anterolateral thigh flap is an attractive option for proximal leg and knee coverage but venous congestion is common. Restoration of antegrade venous drainage via great saphenous vein supercharge to the proximal flap vein is proposed. The purpose of this study was to evaluate and compare outcomes of ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22380
更新日期:2016-01-01 00:00:00
abstract::We employed a forearm flap that had been thinned through primary defatting for nasal covering in three cases to reduce the need for secondary revision. Partial flap loss did occur in one case due to subcutaneous vascular plexus injury, but acceptable results were obtained in the remaining two cases. Donor site concave...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(SICI)1098-2752(1996)17:4<184::AID-MICR4>3
更新日期:1996-01-01 00:00:00
abstract::We report a novel one-stage technique of total hepatectomy in the rat, in which the liver is replaced by an autologous prosthesis. This prosthesis is obtained from a donor rat, and consists of the subhepatic vena cava and the left renal vein harvested en block. This graft is sutured with the subdiaphragmatic cava and ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920160711
更新日期:1995-01-01 00:00:00
abstract::Nerve injuries to the upper and inferior limbs represent a common event due both to home and working accidents. Minor traumas can lead to severe disabilities if a wrong treatment is carried out. From 1997 to 2005, 920 patients were observed with a total of 1,200 major or minor nerves injuries operated. In 852 cases ac...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20382
更新日期:2007-01-01 00:00:00
abstract::Perivascular sympathectomy, which has been used for vasospastic disorders of the hands, was examined in experimental models. Perivascular sympathectomy was performed on the central ear vessels and forepaw metacarpal vessels of the rabbit and on the common digital vessels in the monkey. The effects on adrenergic nerves...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150113
更新日期:1994-01-01 00:00:00
abstract::In order to understand the mechanisms involved in the hypertrophy of vascularized bone grafts, a series of animal experiments were carried out and 32 clinical cases were studied. A defect in the tibial shaft was created in puppies and the ipsilateral fibula was transferred into the medullary cavity of the tibia with t...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920151012
更新日期:1994-01-01 00:00:00
abstract::We report a case of a 24-year-old patient who sustained a mutilating crush injury to the left forearm. After thorough debridement and stabilization of the skeletal injury, the dorsal thoracic fascial flap was used to resurface the circumferential wound, protect the underlying structures, and provide a gliding surface ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20603
更新日期:2009-01-01 00:00:00
abstract::We present our experience with reconstruction after resection of tumors around the knee, using free vascularized fibular grafting. The study included 23 patients. The lower femur was involved in 17 cases, the upper tibia in 6. The cases included giant cell tumor of the lower femur (2 patients), giant cell tumor of the...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/1098-2752(2000)20:5<233::aid-micr4>3.0.co;
更新日期:2000-01-01 00:00:00
abstract::Although the devices for large-caliber vessel (>2-mm diameter) anastomosis are available, there are no devices for performing anastomosis of small-caliber vessels. We designed a hooked device composed of a bioabsorbable polymer for sutureless anastomosis of small-caliber vessels. The efficacy of this device was evalua...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20764
更新日期:2010-09-01 00:00:00
abstract::We have previously shown that the epigastric flap in Dark Agouty rats, measuring approximately 6 x 4 cm with borders related to well-defined anatomical structures, does not exhibit an all-or-none survival pattern. This study was designed to investigate the survival pattern of non-revascularized epigastric flaps in thr...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140907
更新日期:1993-01-01 00:00:00
abstract::Big craniofacial resections for highly invasive malignant neoplasm, including skull base and maxillary bones, always represent a difficult chance for the reconstructive surgeon. In these cases it is not easy to restore anatomy and function simultaneously even adopting complex microsurgical techniques. In maxillofacial...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20694
更新日期:2010-01-01 00:00:00
abstract::Morphometric evaluation of the fetal intestinal graft in the late post-transplant period was done by using C57BL/6 mice. Under anesthesia, after hysterotomy, a transversal laparotomy was done in the fetus to harvest all intestines. Grafts, cleaned from its mesentery, and divided were transplanted into the preperitoneu...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20356
更新日期:2007-01-01 00:00:00
abstract::If segmental nerve defects could be repaired by elongating the proximal or distal segments, nerve grafting might be unnecessary. We elongated a 40-mm proximal segment of an injured median nerve, in the rabbit right forelimb, at a rate of 1 mm/day for 10 days in 10 rabbits and for 15 days in another 10. On the left for...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20039
更新日期:2004-01-01 00:00:00
abstract::Consecutive or simultaneous contralateral breast reduction is a frequent request from patients undergoing unilateral breast reconstruction. Both procedures can be combined using otherwise discarded tissue as a split breast graft for reconstruction of the contralateral side. There have been few reports on the use of pe...
journal_title:Microsurgery
pub_type:
doi:10.1002/micr.30654
更新日期:2020-09-19 00:00:00
abstract::A 4-year-old girl who sustained the hemiplegic cerebral palsy and subsequent spasticity in the left upper extremity underwent the C7 nerve root rhizotomy and the contralateral C7 nerve root transfer to the ipsilateral middle trunk of brachial plexus through an interpositional sural nerve graft. In a 2-year follow-up, ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20877
更新日期:2011-07-01 00:00:00
abstract::Clinical and experimental studies have been conducted to improve the survival of venous flaps. As a result of these studies, although various survival mechanisms were raised, none obtained satisfactory information. Venous stasis, and the resultant venous thrombosis, is a factor that decreases the survival of venous fl...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.21801
更新日期:2001-01-01 00:00:00
abstract::Heart and spleen twin grafts from LEW to ACI rats may survive permanently, whereas those grafted from ACI to LEW rats do not. This strain difference in graft acceptance was analyzed quantitatively by transplanting one to three ACI spleens into LEW rats in order to compensate for the relatively small size of ACI spleen...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920040407
更新日期:1983-01-01 00:00:00
abstract::This investigation initiates the quantitative, hemodynamic assessment of interpositional grafts in small rat arteries. The left femoral arteries in 16 Sprague-Dawley rats were transected at two levels, and were then repaired using interrupted suturing technique. This effectively provided an ideally sized and histologi...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920070207
更新日期:1986-01-01 00:00:00
abstract::Single flap for complex hypopharyngoesophageal and anterior neck skin defect reconstruction is still a challenge for reconstructive surgeons. Herein, we present five patients, with advanced hypopharyngeal cancer and anterior neck skin invasion, which received a single anterolateral thigh (ALT) fasciocutaneous flap for...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20906
更新日期:2011-10-01 00:00:00
abstract::Neurorraphy, conventional nerve grafting technique, and artificial nerve conduits are not enough for repair in severe injuries of peripheral nerves, especially when there is separation of motor nerve from muscle tissue. In these nerve injuries, reinnervation is indicated for neurotization. The distal end of a peripher...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10044
更新日期:2002-01-01 00:00:00
abstract::Significant evolution has been made concerning resuscitation and emergency management of severely burned patients, and nowadays most patients will survive and deal with burns sequelae. They constitute a reconstructive challenge, mainly because options and donor areas are frequently compromised, results are often limit...
journal_title:Microsurgery
pub_type:
doi:10.1002/micr.30646
更新日期:2020-10-01 00:00:00
abstract::The histology of free microvascular muscle flaps in 19 patients was studied prospectively. Biopsies were taken during operation, and after 2 and 6 weeks, as well as 3, 6, and 9 months, postoperatively, fixed and stained using the van Gieson method. Fiber diameters were analyzed morphometrically and fiber types defined...
journal_title:Microsurgery
pub_type: 临床试验,杂志文章
doi:10.1002/(sici)1098-2752(1998)18:2<137::aid-micr13>
更新日期:1998-01-01 00:00:00
abstract::An experimental animal model of a vascularized graft is presented as an alternative to recover faster function. The technique is described and the model compared to a conventional graft in the sciatic nerve of a rabbit. Results are evaluated with histological studies and quantified using a computer to measure the thic...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920060205
更新日期:1985-01-01 00:00:00
abstract::This study was designed to investigate regeneration of reinnervated, free transplanted muscles. We used a rat model, consisting of eight rats per group, in which the latissimus dorsi muscle was transplanted orthotopically and then harvested and evaluated after 2 and 12 weeks. Age-matched control animals were used to o...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920161205
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:This study was conducted to investigate the correlation between the number of vascularized lymph nodes (LN) transferred and resolution of hind limb lymphedema in a rat model. METHODS:Unilateral hind limb lymphedema was created in 18 male Sprague-Dawley rats following inguinal and popliteal LN resection and rad...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22388
更新日期:2016-03-01 00:00:00
abstract::This study demonstrates that intravenous epinephrine causes arterial vasospasm, but not venous constriction, in the microcirculation of the rat cremaster muscle. This effect can be blocked by a smooth muscle relaxant such as papaverine or an alpha receptor antagonist such as phentolamine. Circulating vasospastic agent...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920120111
更新日期:1991-01-01 00:00:00
abstract::This study entailed direct stereomicroscopic observations of rat abdominal island flaps and the sequence of vascular events that occurred during and after occlusion by clamping of the individual femoral vessels for varying time intervals of up to 16 hours. The vascular changes and the status of the circulation in the ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920040205
更新日期:1983-01-01 00:00:00
abstract::A case of complex microsurgical reconstruction of the dorsum of the foot, including tendon transfer following tumor resection, in a 15-week-old male infant is presented. After birth, a 5.5 x 4 cm large tumor was observed on the dorsum of the right foot. Biopsy showed a congenital malignant fibro sarcoma. After initial...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20266
更新日期:2006-01-01 00:00:00
abstract::Literature on the reconstruction of the proximal femur in skeletally immature patients with the use of an epiphyseal transplant is scarce and with variable results depending on the indication. We report successful outcomes using a modified vascularized fibular epiphyseal transplant in a 4-year-old boy with an oncologi...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.21988
更新日期:2012-09-01 00:00:00
abstract::This study aims to compare donor-site morbidity between the traditional fibula osteocutaneous and chimeric fibula flaps for mandibular reconstruction. Twenty-three patients with head and neck cancer were recruited. Fifteen patients underwent the traditional fibula osteocutaneous flap. Eight patients received a chimeri...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20955
更新日期:2012-01-01 00:00:00