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
Published In/Presented At
Hallock, G. G. (2004). Lower extremity muscle perforator flaps for lower extremity reconstruction. Plastic And Reconstructive Surgery, 114(5), 1123-1130.
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