Reconstruction of distal lower extremities defect using the free peroneal artery perforator vessel based flap.

Abstract:

:Soft tissue defects of the distal lower extremities are challenging. The purpose of this paper is to present our experiences with the free peroneal artery perforator flap for the reconstruction of soft tissue defects of the distal lower extremity. Nine free peroneal artery perforator flaps were used to reconstruct soft tissue defects of the lower extremities between April 2006 and October 2011. All flaps were used for distal leg and foot reconstruction. Peroneal artery perforator flaps ranged in size from 2 cm × 4 cm to 6 cm × 12 cm. The length of the vascular pedicle ranged from 2 to 6 cm. Recipient vessels were: medial plantar vessels in seven cases, the dorsalis pedis vessel in one, metatarsal vessel in one. All flaps survived completely, a success rate of 100%. Advantages of this flap are that there is no need to sacrifice any main artery in the lower leg, and minimal morbidity at the donor site. This free perforator flap may be useful for patients with small to medium soft tissue defects of the distal lower extremities and feet.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Ozkan O,Ozkan O,Cinpolat A,Bektas G

doi

10.1002/micr.22290

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

629-32

issue

8

eissn

0738-1085

issn

1098-2752

journal_volume

34

pub_type

杂志文章
  • Noradrenaline levels rise significantly in rat arterial grafts at 6 hours postoperatively, and take 48 hours to come down.

    abstract::The aim of this study was to investigate the rate of disappearance of noradrenaline in arterial grafts after their transplanation. Arterial grafts were harvested from AO/Ks:OC strain rats. In each rat, a graft was harvested from the femoral artery and transplanted into the common carotid artery. A contralateral unoper...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20004

    authors: Penttilä H,Huttunen P,Von Smitten K,Waris T,Ashammakhi N

    更新日期:2004-01-01 00:00:00

  • Lymphaticovenular anastomoses for lymphedema treatment: 18 months postoperative outcomes.

    abstract::The purpose of this work was to report our initial experience with lymphaticovenular anastomoses (LVA), a controversial technique for lymphedema treatment. Although LVA technique was described many years ago, the procedure is not as widespread as it was supposed to be, taking into account the high impact that lymphede...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20980

    authors: Auba C,Marre D,Rodríguez-Losada G,Hontanilla B

    更新日期:2012-05-01 00:00:00

  • The potential roles for adipose tissue in peripheral nerve regeneration.

    abstract:INTRODUCTION:This review summarizes current understanding about the role of adipose-derived tissues in peripheral nerve regeneration and discusses potential advances that would translate this approach into the clinic. METHODS:We searched PubMed for in vivo, experimental studies on the regenerative effects of adipose-d...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.22480

    authors: Walocko FM,Khouri RK Jr,Urbanchek MG,Levi B,Cederna PS

    更新日期:2016-01-01 00:00:00

  • Improvement of the efficacy of vascularized lymph node transfer for lower-extremity lymphedema via a prefabricated lympho-venous shunt through lymphaticovenular anastomosis between the efferent lymphatic vessel and small vein in the elevated vascularized

    abstract:BACKGROUND:Following vascularized lymph node (VLN) transfer (VLNT), the VLN may be at a risk for sclerosis because of efferent lymphatic vessel obstruction. We developed a new technique to prevent VLN sclerosis via a prefabricated lympho-venous (LV) shunt. This study compared the treatment outcomes of single VLNT with ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30234

    authors: Akita S,Yamaji Y,Tokumoto H,Sasahara Y,Kubota Y,Kuriyama M,Mitsukawa N

    更新日期:2018-03-01 00:00:00

  • Objective preoperative estimation of the ability of primary closure on anterolateral thigh free flap donor site: circumference and area ratios of deep tissue to thigh.

    abstract:PURPOSE:The purpose of this study was to consider the relationship between the ratio of deep tissue including muscle to thigh at donor sites and the possibility of performing primary closure of donor site. METHODS:The subjects were 74 patients who had harvesting of anterolateral thigh (ALT) free flap from June 2005 to...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22080

    authors: Song K,Nam S,Choi S,Kim J,Lee J,Bae Y

    更新日期:2013-05-01 00:00:00

  • Free latissimus dorsi flap with long venous grafts for closure of a soft tissue defect of the spine in a patient with Noonan's syndrome: a case report.

    abstract::A 23-year-old male patient was operated for a soft tissue defect of the spine using a free musculocutaneous latissimus dorsi flap with two 21-cm long venous grafts connecting the flap to its vascular supply at the thoracodorsal vessels. This young patient suffered from Noonan's Syndrome that is a complex hereditary ma...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20625

    authors: Sinis N,Lanaras TI,Kraus A,Werdin F,Schaller HE,Peek A

    更新日期:2009-01-01 00:00:00

  • On sampling and sampling errors in histomorphometry of peripheral nerve fibers.

    abstract::Histomorphometrical assessment of regenerated peripheral nerves is a very common goal of many studies in experimental microsurgery. In this paper, the main critical issues in nerve fiber sampling for quantitative morphological assessment are addressed. The equal opportunity rule, i.e., the basic paradigm of random sam...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10199

    authors: Geuna S,Gigo-Benato D,Rodrigues Ade C

    更新日期:2004-01-01 00:00:00

  • Experimental study of the relationship between alterations in tissue perfusion and anastomotic patency.

    abstract::It is generally believed that alterations in perfusion which endanger a free flap or replant are directly related to thrombus formation and obstruction of blood flow at the anastomotic site. Recent experimental work in our laboratory suggests that the presence of platelet emboli downstream in the microcirculation migh...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140612

    authors: Barker JH,Anderson GL,Gu JM,Wyllie F,Acland RD

    更新日期:1993-01-01 00:00:00

  • Pharmacological thrombolysis: one more weapon for free-flap salvage.

    abstract::Despite the high success rate of free-tissue transfer, thrombosis still complicates 5-30% of cases. Meticoulous technique, careful vessel selection, and pharmacological prophylaxis are not always enough to avoid thrombosis. Early diagnosis and reintervention provide the only way to salvage a thrombosed free flap, in c...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20147

    authors: D'Arpa S,Cordova A,Moschella F

    更新日期:2005-01-01 00:00:00

  • The distally based, venous supercharged anterolateral thigh flap.

    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

    authors: Lin CH,Zelken J,Hsu CC,Lin CH,Wei FC

    更新日期:2016-01-01 00:00:00

  • Use of the latissimus dorsi flap in head and neck reconstructive microsurgery.

    abstract::Reconstructive surgery of the head and neck has particularly benefited from the rapid developments in microsurgery. Resection of tumours from the head and neck which are associated with serious physical and psychological problems, or which often require multiple reconstructive procedures, can now be performed as a sin...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150711

    authors: Papadopoulos ON,Gamatsi IE

    更新日期:1994-01-01 00:00:00

  • Arterial crush injury causes decrease in tissue perfusion at the level of the microcirculation in skeletal muscle flap.

    abstract::This study was designed to evaluate the effects of crush injuries to the feeding arteries of a muscle flap on microcirculatory haemodynamics. Eighteen male Sprague-Dawley rats were divided into three experimental groups for intravital microscopy of the cremaster muscle flap. Group 1 served as control. In group 2 the c...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1999)19:8<364::aid-micr3>3

    authors: Krapohl BD,Mailänder P,Siemionow M,Giunta R,Zins JE

    更新日期:1999-01-01 00:00:00

  • Microsurgical skills training: a new concept for simulation of vessel-wall suturing.

    abstract::Initiation of training in basic microsurgical suturing technique usually involves placing sutures on incisions made on latex sheets, and then progressing to a live anastomosis in a rat model. A straight incision resembles a skin incision and does not mechanically simulate vessel wall suturing, and various modification...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20074

    authors: Lahiri A,Lim AY,Qifen Z,Lim BH

    更新日期:2005-01-01 00:00:00

  • Tubulization with chitosan guides for the repair of long gap peripheral nerve injury in the rat.

    abstract::Biosynthetic guides can be an alternative to nerve grafts for reconstructing severely injured peripheral nerves. The aim of this study was to evaluate the regenerative capability of chitosan tubes to bridge critical nerve gaps (15 mm long) in the rat sciatic nerve compared with silicone (SIL) tubes and nerve autograft...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22362

    authors: Gonzalez-Perez F,Cobianchi S,Geuna S,Barwig C,Freier T,Udina E,Navarro X

    更新日期:2015-05-01 00:00:00

  • Continuous- and interrupted-suture technique in microsurgical end-to-end anastomosis.

    abstract::Microsurgical end-to-end anastomosis of the carotid artery of the rat is discussed. The continuous-suture technique is found to be less time consuming than the interrupted-suture technique. Comparison of the flow rate of each anastomosis doesn't reveal a marked difference. Patency rate of each technique is 100%. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920050206

    authors: Firsching R,Terhaag PD,Müller W,Frowein RA

    更新日期:1984-01-01 00:00:00

  • Reduction of reperfusion injury edema with corticotropin-releasing factor (CRF): a pilot study.

    abstract::Regulation of capillary permeability with ischemic reperfusion injury is a complex interaction between vascular endothelium and circulating blood factors. Corticotropin-releasing factor (CRF), a 41 -amino acid peptide CNS neurotransmitter known to modulate the pituitary-adrenal axis during stress response, has been sh...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:2<76::aid-micr3>3.

    authors: Whitney TM,Bentz ML,Johnson PC

    更新日期:1998-01-01 00:00:00

  • Observations of rat ovarian-splenic consecutive transplants.

    abstract::We examined the results after implantation of ovarian follicles by various modes in a total of 82 cases. One or five ovarian follicles were implanted into spleens in castrated female rats. In 20 cases among these, each five follicles were implanted into native and transplanted spleens after spleen transplantation (dou...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10186

    authors: Hong IC,Lee S,Yoo CH,Nam S,Bai S,Kim K,Pivetti CD,Niewiadomski ST,Wolf P,Gittes RF

    更新日期:2003-01-01 00:00:00

  • End-to-side neurorrhaphy.

    abstract::End-to-side neurorrhaphy, a possible strategy for treating nerve lesions without useable proximal nerve stumps, has been experimentally and clinically investigated. In end-to-side neurorrhaphy, three main elements should be considered: 1) the induction of axonal collateral sprouting in the donor nerve; 2) the ability ...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.21736

    authors: Zhang F,Fischer KA

    更新日期:2002-01-01 00:00:00

  • Natural history of digital replantation: a 12-year prospective study.

    abstract:UNLABELLED:The purpose of the study was to evaluate the fate of the digital arterial anastomoses, resting total digit blood flow, and cold-induced discomfort following digital replantation with two repaired arteries. The evaluation was done with a Doppler ultrasound of the anastomoses, temperature recording from the fi...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160304

    authors: Povlsen B,Nylander G,Nylander E

    更新日期:1995-01-01 00:00:00

  • Spleen autotransplantation in mice: a novel experimental model for immunology study.

    abstract::The aim of the experimental model to develop a spleen transplant model in mice to study the role of spleen in autoimmune and transplant rejection. After a midline incision, splenectomy was performed. Four tiny segments were cut from the removed spleen and were rinsed at room temperature in physiological salt solution....

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1026

    authors: Mikó I,Bráth E,Furka I,Kovács J,Kelvin D,Zhong R

    更新日期:2001-01-01 00:00:00

  • Free flap failure in an anticardiolipin antibody-positive patient with neoplasm--a case report.

    abstract::We present herein a case of massive arterial thrombosis of a free rectus abdominal musculocutaneous flap used for reconstructive surgery of gingival carcinoma that could not be rescued. A 54-year-old woman underwent the operation. She had experienced two miscarriages in her 20s, but medical history was otherwise uneve...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20734

    authors: Asai E,Okouchi M,Momiyama M,Kajikawa A,Ueda K

    更新日期:2010-01-01 00:00:00

  • Dexter: a device for the assessment of microsurgical instrumentation and instruction of trainees.

    abstract::We present an easily constructed devise, which allows the testing and comparison of microsurgical apparatus, providing a numerical result for statistical analysis. It also enables the trainee microsurgeon to practise basic microsurgical skills in a safe environment. Construction and uses are discussed. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:7<430::aid-micr8>3

    authors: Southern SJ,Ramakrishnan V

    更新日期:1998-01-01 00:00:00

  • Comparisons of fascio-cutaneous anterolateral thigh and sandwich fascial ALT free flap in the distal extremity reconstruction.

    abstract:INTRODUCTION:The anterolateral thigh (ALT) flap is considered a workhorse reconstructive option; however, it is encumbered by its bulkiness that can result in poor final outcome and need for revision surgery. The aim of the present study was to compare the standard cutaneous ALT free flap and sandwich fascial ALT (SALT...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30515

    authors: Cherubino M,Stocco C,Ronga M,Tamborini F,Maggiulli F,Di Giovanna D,Campisi C,Di Summa P,Valdatta L

    更新日期:2020-05-01 00:00:00

  • Combined single-stage enterolysis with pedicle seromuscular bowel flaps, myocutaneous and fasciocutaneous flaps to repair recurrent enterocutaneous fistulas in complex abdominal Wall defects.

    abstract:INTRODUCTION:Reconstruction of abdominal wall defects with enterocutaneous fistulas (ECF) remains challenging. The purpose of this report is to describe a single-stage approach using combined microscopic enterolysis, pedicle seromuscular bowel flaps, mesh, fasciocutaneous, and myocutaneous flaps. METHODS:Between 1990 ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30374

    authors: Adabi K,Manrique OJ,Vijayasekaran A,Moran SL,Ciudad P,Huang TCT,Nicoli F,Bishop S,Chen HC

    更新日期:2020-01-01 00:00:00

  • Selective heparinization of venous anastomosis in latissimus dorsi free flaps to cover lower-extremity soft-tissue defects.

    abstract::Two groups of consecutive patients treated with latissimus dorsi free myocutaneous flaps to cover lower-extremity soft-tissue defects were compared for postoperative vascular occlusion. In the first group of 13 patients (group I), there were five (38%) venous occlusions and no arterial occlusions. The second group of ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920120414

    authors: Labosky DA

    更新日期:1991-01-01 00:00:00

  • Preventive haemostasis with an inflatable tourniquet for microsurgical distal arteriovenous fistulas for haemodialysis.

    abstract::The creation of a distal arteriovenous fistula for haemodialysis is made easier by using preventive haemostasis with an inflatable tourniquet. Preventive haemostasis reduces the duration of the surgery and reduces the arterial spasm provoked by the dissection. When microsurgical techniques and preventive haemostasis a...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140709

    authors: Bourquelot PD

    更新日期:1993-01-01 00:00:00

  • Experimental study on the behavior of a transplanted vascular pedicle.

    abstract::The transparent chamber technique of the hamster cheek pouch was utilized to observe the behavior of a transplanted vascular pedicle within a relatively adverse environment. Observations included direct visualization with intravital microscopy, histology, scanning electron microscopy, and alkaline phosphatase staining...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920100307

    authors: Hung LK,Leung PC,Cheng GL

    更新日期:1989-01-01 00:00:00

  • An analysis of free flap failure using the ACS NSQIP database. Does flap site and flap type matter?

    abstract:PURPOSE:We sought to use the NSQIP database to determine the national rate and predictors of free flap failure based upon flap sites and flap types. METHODS:Free flaps were identified using the 2005-2010 NSQIP database. We examined overall flap failure rates as well as failure rates based upon flap sites (head and nec...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30121

    authors: Kwok AC,Agarwal JP

    更新日期:2017-09-01 00:00:00

  • Effect of low-intensity pulsed ultrasound on the expression of neurotrophin-3 and brain-derived neurotrophic factor in cultured Schwann cells.

    abstract::It is generally known that low-intensity pulsed ultrasound (LIPUS) accelerates peripheral nerve tissue regeneration. However, the precise cellular mechanism involved is still unclear. The purpose of this study was to determine how the Schwann cells respond directly to LIPUS stimuli. Thus, we investigated the effect of...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20644

    authors: Zhang H,Lin X,Wan H,Li JH,Li JM

    更新日期:2009-01-01 00:00:00

  • Predicting perforator location on preoperative imaging for the profunda artery perforator flap.

    abstract:INTRODUCTION:The profunda artery perforator (PAP) flap is a new addition to our reconstructive armamentarium. In effort to better understand patient candidacy for the PAP flap we characterized the profunda artery perforators on preoperative imaging. METHODS:A retrospective review was completed of 40 preoperative poste...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.21980

    authors: Haddock NT,Greaney P,Otterburn D,Levine S,Allen RJ

    更新日期:2012-10-01 00:00:00