Chinese Journal Of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (6): 694-696.doi: 10.13418/j.issn.1001-165x.2018.06.019

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Clinical application of free descending genicular artery perforator flap for coverage of soft tissue defect of foot

BAO Jing-jing 1,2, JIANG Lei 2, HUANG Xian-jun 2, PAN Zhi-jun 1   

  1. 1.Department of Orthopaedics, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou310009,China;2.Department of Orthopedics, Zhejiang Rongjun Hospital, Jiaxing 314000, China
  • Received:2018-04-11 Online:2018-11-25 Published:2018-12-29

Abstract:

Objective To summarize the method and clinical efficacy of using the descending genicular artery perforator flap for resurfacing foot wounds. Methods The descending genicular artery perforator flap was adopted for coverage of soft-tissue defects over the foot in 8 cases between Mar, 2014 to Dec, 2016. The area of the skin flap ranged from 7.0cm×9.0 cm to 9.0 cm×20.0 cm, The perforator flaps included the genicular artery perforator flap in 5 cases, and the musculocutaneous perforator flap in 3 cases.  Result  In the 8 cases of clinical application, all flap survived uneventfully. Patients were followed up 3 to 10 months with an average of 8 months. The appearance, texture, and colour of the flaps were similar to those of the donor site. Conclusions The descending genicular artery perforator flap, being consistent in perforator location, moderate in vascular caliber, appropriate in skin thickness, is an effective method to repair the soft-tissue defects of the hand and foot.

Key words: Foot injury,  Surgical flap,  Perforator flap,  Descending genicular artery