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Huang Q, Wang Q, Xu Y, Ren C, Lin H, Zhang C, Liu L, Li M, Lu Y, Li Z, Zhang K, Ma T. Dual-Perforator Flap With Wide Pedicle Versus Sural Neurocutaneous Flap With Peroneal Artery Perforator in the Treatment of Soft Tissue Defects of Foot and Ankle. J Foot Ankle Surg 2022; 62:150-155. [PMID: 35803886 DOI: 10.1053/j.jfas.2022.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 05/29/2022] [Accepted: 06/04/2022] [Indexed: 02/03/2023]
Abstract
How to deal with large soft tissue defects around the foot and ankle is still controversial. The aim of this study was: (1) to display a new pedicled flap, also named the dual-perforator flap with wide pedicle (DPFWP), and (2) to compare it with the sural neurovascular flap with peroneal artery perforator (SNFPAP) in foot and ankle reconstruction. According to different surgical methods, 82 patients were divided into 2 groups: the DPFWP group (42 cases) and the SNFPAP group (40 cases). All cases underwent a flap surgery after radical debridement. The 2 groups were homogeneous in terms of age, sex, body mass index (BMI), etiology, location, and follow-up duration. Operation indexes were compared, including flap length, flap width, operation time and blood loss. Complications, cosmetic appearance, and functional outcome were analyzed, and statistical analysis was performed. The DPFWP group had larger flap length (24.5 ± 4.6 cm vs 16.3 ± 3.8 cm), and flap width (10.5 ± 2.7 cm vs 7.8 ± 1.7 cm) than the SNFPAP group. In postoperative follow-up, DPFWP group showed a lower complication rate and better cosmetic, functional outcomes than SNFPAP group. In conclusion, this study showed that a DPFWP flap brought better results than a SNFPAP flap in terms of complications, cosmetic appearance, and functional outcomes for patients undergoing reconstruction of foot and ankle defects.
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Affiliation(s)
- Qiang Huang
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - Qian Wang
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - YiBo Xu
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - Cheng Ren
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - Hua Lin
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - ChengCheng Zhang
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - Lu Liu
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - Ming Li
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - Yao Lu
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - Zhong Li
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
| | - Kun Zhang
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China.
| | - Teng Ma
- Department of Orthopedic Surgery, Hong Hui hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China
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