Treating Foot Injuries by Grafting Pedicled Distal Peroneal Artery Perforator Flaps. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2019]

Author(s):

1. Changqing Hu: The Fifth Orthopaedics Department, The No.1 Central Hospital of Baoding City, Baoding, Hebei, China

2. Yong Lian: The Fifth Orthopaedics Department, The No.1 Central Hospital of Baoding City, Baoding, Hebei, China

3. Xiao Fan: The Fifth Orthopaedics Department, The No.1 Central Hospital of Baoding City, Baoding, Hebei, China

4. Zhiping Sun: The Fifth Orthopaedics Department, The No.1 Central Hospital of Baoding City, Baoding, Hebei, China

Abstract:

Treating mid- and forefoot wounds is challenging. We share our clinical experience and describe the treatment of foreand midfoot wounds by grafting pedicled distal peroneal artery perforator (PNAP) flaps. The study enrolled 21 patients with fore- and midfoot injuries, who underwent grafting with a pedicled distal PNAP flap between August 2013 and May 2016. All of the flaps survived and were followed for 2 to 11 months. The appearance and texture of these flaps were good. The range of motion of the injured ankle was similar to the unaffected side. There were no complications, such as scar contracture, ulcer, or tenderness. The pedicled distal PNAP flaps can effectively extend the length of the flap pedicles and are better for repairing fore- and midfoot wounds than the traditional distally pedicled sural neuro-fasciocutaneous flaps.

Page(s): 685-687

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 29, Issue: 7, Year: 2019

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