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Aesthetic reconstruction of lower leg defects using a new anterolateral lower leg perforator flap

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Author(s)
Nam Gyun KimKyung Suk LeeTae Hyun ChoiJun Sik KimJae Hoon ChoiPal Young JangKi Hwan HanDae Gu SonJun Hyung Kim
Keimyung Author(s)
Choi, Tae HyunHan, Ki HwanSon, Dae GuKim, Jun HyungChoi, Jae Hoon
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Journal of Plastic, Reconstructive & Aesthetic Surgery
Issued Date
2008
Volume
61
Issue
8
Keyword
Anterolateral lower leg perforator flapAesthetic reconstructionAnterior intermuscular septumSuperficial peroneal nerve accessory arterySuperior lateral peroneal artery
Abstract
Our objective in this study was to report on the successful clinical use of a new perforator flap obtained from the proximal quarter of the anterolateral lower leg. Eight patients had the procedure either as a result of trauma (seven patients) or to treat Marjolin's ulcer (one patient). During the procedure, a line was drawn from the anterior fibular head to the anterior lateral malleolus. Then, using Doppler, a septocutaneous perforator from the fibular head to the proximal quarter point of the line was identified. The subfascial dissection was continued to the detected perforator. Along the perforator in the anterior intermuscular (peroneal) septum, a deep dissection was performed. The perforator was then separated and the flap harvested. The septocutaneous perforator was the perforator of the superficial peroneal nerve accessory artery in three cases, the perforator of the superior lateral peroneal artery in one case, and the perforator originating directly from the anterior tibial artery in four cases. Seven of eight cases were treated successfully. The results obtained were satisfactory, both aesthetically and functionally. This flap is a valuable alternative to the various perforator flaps from the lower leg. This flap has the advantage of being very thin, which makes it suitable for reconstruction of defects in the foot, ankle, pretibial area, and knee. However, one limitation of this procedure is that the diameter of the perforator was approximately 0.6–1.2 mm.
Keimyung Author(s)(Kor)
최태현
한기환
손대구
김준형
최재훈
Publisher
School of Medicine
Citation
Nam Gyun Kim et al. (2008). Aesthetic reconstruction of lower leg defects using a new anterolateral lower leg perforator flap. Journal of Plastic, Reconstructive & Aesthetic Surgery, 61(8), 934–938. doi: 10.1016/j.bjps.2007.06.006
Type
Article
ISSN
1748-6815
Source
http://lps3.www.sciencedirect.com.proxy.dsmc.or.kr/science/article/pii/S1748681507003257?via%3Dihub
DOI
10.1016/j.bjps.2007.06.006
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34242
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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