Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot
Background Reconstruction of large foot and ankle defects is a difficult task due to less available local soft tissue and more critical from functional point of view. To overcome the limitations associated with locoregional flaps and free flaps, reverse peroneal artery (RPA) flap was selected and it...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2022-12-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1760091 |
| _version_ | 1797946382943780864 |
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| author | Lakshmi Palukuri Raja Kiran Kumar Goud Ireni Faiyaz Abdul Jabbar Shaleena Sukumaran Nair Pranav Reddy Jambula Vijaybabu Kommu |
| author_facet | Lakshmi Palukuri Raja Kiran Kumar Goud Ireni Faiyaz Abdul Jabbar Shaleena Sukumaran Nair Pranav Reddy Jambula Vijaybabu Kommu |
| author_sort | Lakshmi Palukuri |
| collection | DOAJ |
| description | Background Reconstruction of large foot and ankle defects is a difficult task due to less available local soft tissue and more critical from functional point of view. To overcome the limitations associated with locoregional flaps and free flaps, reverse peroneal artery (RPA) flap was selected and its usefulness in reconstruction of distal large defects of the ankle and foot and its complications were studied.
Materials and Methods This is a prospective observational study done in 20 patients treated as cohort within 2 years and 8 months from January 2018 to August 2020. Large defects of foot and ankle were reconstructed with RPA flap and evaluated for its usefulness. Three cases were evaluated with computed tomography angiography postoperatively, to assess the vascular pattern.
Conclusion RPA flap is a versatile and very reliable flap for the reconstruction of large and distal defects of foot and ankle. It is safely done in children and in acute trauma without any major complications. |
| first_indexed | 2024-04-10T21:10:07Z |
| format | Article |
| id | doaj.art-a48c3c32a0274d8db0a2173c207e785f |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-04-10T21:10:07Z |
| publishDate | 2022-12-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-a48c3c32a0274d8db0a2173c207e785f2023-01-20T23:42:10ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2022-12-01550438339010.1055/s-0042-1760091Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and FootLakshmi Palukuri0Raja Kiran Kumar Goud Ireni1Faiyaz Abdul Jabbar2Shaleena Sukumaran Nair3Pranav Reddy Jambula4Vijaybabu Kommu5Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, IndiaDepartment of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, IndiaDepartment of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, IndiaDepartment of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, IndiaDepartment of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, IndiaDepartment of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, IndiaBackground Reconstruction of large foot and ankle defects is a difficult task due to less available local soft tissue and more critical from functional point of view. To overcome the limitations associated with locoregional flaps and free flaps, reverse peroneal artery (RPA) flap was selected and its usefulness in reconstruction of distal large defects of the ankle and foot and its complications were studied. Materials and Methods This is a prospective observational study done in 20 patients treated as cohort within 2 years and 8 months from January 2018 to August 2020. Large defects of foot and ankle were reconstructed with RPA flap and evaluated for its usefulness. Three cases were evaluated with computed tomography angiography postoperatively, to assess the vascular pattern. Conclusion RPA flap is a versatile and very reliable flap for the reconstruction of large and distal defects of foot and ankle. It is safely done in children and in acute trauma without any major complications.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1760091reverse peroneal artery flapreconstruction of foot and ankle defectsperoneal perforator fasciocutaneous flapsreverse flow flapsct peripheral angiogramperoneal artery communications |
| spellingShingle | Lakshmi Palukuri Raja Kiran Kumar Goud Ireni Faiyaz Abdul Jabbar Shaleena Sukumaran Nair Pranav Reddy Jambula Vijaybabu Kommu Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot Indian Journal of Plastic Surgery reverse peroneal artery flap reconstruction of foot and ankle defects peroneal perforator fasciocutaneous flaps reverse flow flaps ct peripheral angiogram peroneal artery communications |
| title | Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot |
| title_full | Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot |
| title_fullStr | Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot |
| title_full_unstemmed | Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot |
| title_short | Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot |
| title_sort | reverse peroneal artery flap a workhorse flap for reconstruction of large distal defects of ankle and foot |
| topic | reverse peroneal artery flap reconstruction of foot and ankle defects peroneal perforator fasciocutaneous flaps reverse flow flaps ct peripheral angiogram peroneal artery communications |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1760091 |
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