Title

Lower Extremity Muscle Perforator Flaps for Lower Extremity Reconstruction.

Publication/Presentation Date

10-1-2004

Abstract

A true muscle perforator flap is distinguished by the requisite intramuscular dissection of its musculocutaneous perforator to capture the same musculocutaneous territory but with total exclusion of the muscle, and thereby results in minimal functional impairment. Adhering to this definition, several lower extremity donor sites now are available, each with specific attributes especially useful for consideration in the treatment of lower extremity defects. In this author's experience over the past two decades, 20 lower extremity muscle perforator flaps using multiple donor sites proved advantageous for lower extremity coverage problems as either a local pedicled flap or as a microsurgical tissue transfer. Significant complications occurred in 30 percent of flaps (six of 20) in that further intervention was required. Venous insufficiency and bulkiness were found to be the major inherent shortcomings. However, giant flaps, lengthy and large-caliber vascular pedicles, and the possibility for combined flaps were important assets. The choice of a lower extremity muscle perforator flap for lower extremity reconstruction limited the surgical intervention and morbidity to a single body region.

Volume

114

Issue

5

First Page

1123

Last Page

1130

ISSN

1529-4242

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Plastic Surgery | Surgery

PubMedID

15457022

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article