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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2017

Open Access 01-12-2017 | Research article

Peroneal artery perforator flap for the treatment of chronic lower extremity wounds

Authors: Liang Cheng, Xiaqing Yang, Tingxiang Chen, Zhijie Li

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2017

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Abstract

Background

Reconstruction of chronic lower extremity wounds remains challenging. These wounds are mainly associated with diabetes mellitus, infections, and osteomyelitis. Although several reconstructive techniques are available, the peroneal artery perforator flap has unique advantages.

Methods

In this study, we discuss our experiences with peroneal artery perforator flaps in 55 patients who had suffered from chronic lower limb wounds. The size of the defect, comorbidities, etiology, flap size, and complications were recorded and analyzed based on a retrospective chart review.

Results

All 55 flaps survived. In two cases, small superficial necrosis occurred, one of which healed with conservative treatment and the other was reconstructed with split thickness skin grafts. Partial necrosis was observed in nine cases, seven of which were covered with split thickness skin grafts and the remaining two sutured directly after adequate debridement. Vascular compromise was observed in one patient, which was salvaged successfully by performing an exploratory procedure and releasing a few sutures. No complications were seen in the remaining 44 cases.

Conclusion

The peroneal artery perforator flap is a reliable option for reconstruction of chronic lower extremity wounds.
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Metadata
Title
Peroneal artery perforator flap for the treatment of chronic lower extremity wounds
Authors
Liang Cheng
Xiaqing Yang
Tingxiang Chen
Zhijie Li
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2017
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-017-0675-z

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