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The outcomes of peroneal artery perforator-based propeller flaps for the treatment of infected lateral malleolar bursitis

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Author(s)
Taegyu LeeJunhyung KimWoonhyeok JeongTaehee JoSangwoo ParkJaehoon Choi
Keimyung Author(s)
Kim, Jun HyungJeong, Woon HyeokJo, Tae HeeChoi, Jae Hoon
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Arch Hand Microsurg
Issued Date
2023
Volume
28
Issue
3
Keyword
BursitisPerforator flapDiabetes mellitusMicrocirculation
Abstract
Purpose:
Infected malleolar bursitis sometimes requires multiple debridements, followed by soft tissue reconstruction with a flap. The purpose of this study was to evaluate the clinical outcomes of patients with infected lateral malleolar bursitis who were treated using peroneal artery perforator-based propeller flaps.

Methods:
We retrospectively included 10 patients who underwent reconstruction of the lateral malleolus with a peroneal artery perforator-based propeller flap due to infected lateral malleolar bursitis between 2014 and 2022.

Results:
The average follow-up time was 77.2 weeks. Six patients experienced complete healing; three developed partial flap necrosis, and one had a long-lasting seroma. All patients with complications had long-term diabetes.

Conclusion:
Partial flap necrosis in patients with diabetes may occur because of impaired microcirculation. A peroneal artery perforator-based propeller flap could be useful for soft tissue reconstruction in select patients without diabetes or in patients with diabetes who have infected lateral malleolar bursitis.
Keimyung Author(s)(Kor)
김준형
정운혁
조태희
최재훈
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2586-3533
Source
https://www.handmicro.org/journal/view.php?doi=10.12790/ahm.23.0020
DOI
10.12790/ahm.23.0020
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45072
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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