Medial Sural Artery Perforator Flap For Reconstruction 1/3 Proximal Defect of Cruris


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Yaşar E. K. , Alagöz M. Ş. , Aytaç Y. A.

The 4th Congress of Asian Pacific Federation of Societies for Reconstructive Microsurgery, Antalya, Turkey, 9 - 13 May 2018, pp.336-337

  • Publication Type: Conference Paper / Full Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.336-337

Abstract

MEDIAL SURAL ARTERY PERFORATOR FLAP FOR RECONSTRUCTION 1/3 PROXIMAL DEFECT

OF CRURIS

Emrah Kagan Yasar, Aykut Gök, Yusuf Alper Aytac, Murat Şahin Alagöz

Department of Plastic, Reconstructive and Aesthetic Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey

PURPOSE: In the defects of the proximally tibia 1/3, the pedicled transposition of the gastrocnemius muscles is

the first choice of reconstruction. However, there are disadvantages such as muscle loss and a long donor site scar

tissue. The medial sural artery perforator blade does not have these disadvantages and provides very good results.

MATERIAL METHODS: A 47-year-old male patient was admitted to our hospital due to exposed plaque at 3 months

postoperatively. The patient has gustillo type 3 a open fracture in the tibia 1/3 proximal tibia after accident. Removing the

plaques from the orthopedic department were seemed appropriate. Primary repair wasn’t done because there was no left

lateral skin defect. Medial sural artery perforator flap was planned for soft tissue defect of 5x9 cm on tibial bone exposition at

the medial surface. Marking with hand doppler and flap drawings are completed. The flap was removed via two perforators.

The dissections were completed within the Gastrocnemius sheath and tunneled under the defect. The injured parts of the

gastrocnemius muscle were then repaired with 3-0 vicryl. Flap donor site was partially reduced and STSG was placed in the

defect. There was no problem following the flap.

CONCLUSION: It is an effective method to minimize the loss of power in the lower extremity of the patient by avoiding the

sacrifice of the gastrocnemius muscle. The medial sural artery perforator flaps are most useful flaps for avoiding muscle

sacrifice.

 Keywords: Medial Sural Artery, Perforator Flap, Lower Extremity