J Korean Soc Plast Reconstr Surg.  2006 Mar;33(2):187-192.

Clinical Applications of Peroneal Perforator Flap

Affiliations
  • 1Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University, Daejeon, Korea. psdrlsr@ cnu.ac.kr

Abstract

The perforator flaps are based on cutaneous vessels which are originated from a main pedicle and penetrate fascia or muscle to reach the skin. The lateral lower leg is one of the most suitable areas for harvesting perforator flaps because a number of perforator vessels exist. The authors applied peroneal perforator flaps in nine patients. Five flaps were reverse island flaps based on peroneal artery and septocutaneous perforator, and four flaps were free flap based on musculocutaneous perforator only. The recipient site was the posterior ankle in three patients, posterior heel in three patients, lateral malleolus, anterolateral ankle, and foot dorsum in one patient each. The flap size ranged from 5 to 12cm long, from 3 to 5cm wide, and the primary closure of the donor site was possible in most cases. All flaps, except for the flap in two patients in the reverse island flap series, survived completely. The peroneal perforator flap is a very thin, pliable flap with minimal donor site morbidity and is suitable for the reconstruction of small and medium sized superficial skin defects. Also, this flap may be considered as an alternative to radial forearm flap or other perforator flaps.

Keyword

Peroneal perforator flap; Reverse island flap; Free flap

MeSH Terms

Ankle
Arteries
Fascia
Foot
Forearm
Free Tissue Flaps
Heel
Humans
Leg
Perforator Flap*
Skin
Surgical Flaps
Tissue Donors
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