The outcome of pedicled medial sural artery perforating flap for proximal leg reconstruction | [Journal of Ayub Medical College • 2023]

Author(s):

1. Hira Katpar: Plastic Surgery Department, PNS Shifa Hospital Karachi-,,Pakistan

2. Rana Hassan Javaid: Plastic Surgery Department, PNS Shifa Hospital Karachi-,,Pakistan

3. Rao Saood Ahmed: Plastic Surgery Department, PNS Shifa Hospital Karachi-,,Pakistan

4. Abdul Rasool: Plastic Surgery Department, PNS Shifa Hospital Karachi-,,Pakistan

5. Farah Naz: Plastic Surgery Department, PNS Shifa Hospital Karachi-,,Pakistan

6. Sara Noor: Plastic Surgery Department, PNS Shifa Hospital Karachi-,,Pakistan

Abstract:

Background: Reconstruction of defects around the knee and proximal leg are difficult to reconstruct. Out of the multiple flaps described for reconstruction, the pedicled Medial Sural Artery Perforating Flap (MSAP) has recently gained popularity. We conducted this study to assess the clinical outcomes of pedicled MSAP for this purpose at our hospital. Methods: A descriptive case series was conducted from April 2022 to March 2023. All patients above 18 years with defects around the knee and proximal leg were included. Patients with tissue loss in the calf area were excluded. Results: A total of 14 patients were included. Twelve (86%) were males, while only 2 were females (14%). The mean age was 33.5 years (±8.76). The most common cause of the defect was trauma (n=11, 85%). The Mean distance of the distal-most perforator from the popliteal crease was 12.714 (±1.990) cm (range 9-16 cm). It was observed that the most distal perforator is usually present in a 2 cm radius of the medial musculo-tendinous junction of the gastrocnemius. Complications were seen in 2 (14%) patients. The mean duration of hospital stay was 4.2 (±0.96) days. Patients were followed up weekly for the first two weeks and then at 1, 3 and 6 months. Conclusion: MSAP Flap is a reliable thin, long pedicled fasciocutaneous flap with low donor site morbidity and aesthetically good results for reconstruction around the knee and proximal leg.

Page(s): 370-374

DOI: 10.55519/JAMC-03-11969

Published: Journal: Journal of Ayub Medical College, Volume: 35, Issue: 3, Year: 2023

Keywords:

Medial Sural Artery Perforator flap , Perforator flap , Proximal leg reconstruction

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