title: [Clinical applications of the postfemur island flap pedicled with the postfemur neurocutaneous nutrient vessel].
abstract: OBJECTIVE
  To investigate the application of the island flap based on the postfemur neurocutaneous nutrient vessel.
  
  
  METHODS
  The flap was designed and applied to repair the defects in the gluteal, popliteal fossa or the bilateral postfemur areas. A total of 11 cases (12 defects) were treated with this method. The size of the defects ranged from 4.0 cm x 7.8 cm to 8.3 cm x 16.6 cm.
  
  
  RESULTS
  Of the 12 defects, 9 achieved complete success. Epidermal necrosis occurred in the distal part of the flap in 3 defects owing to venous stasis, which were cured with skin grafting. Postoperative follow-up for 8-19 months showed that the appearance, texture, and function of the flap were satisfactory.
  
  
  CONCLUSIONS
  The advantages of the flap lie in the reliable blood supply, constant anatomy, and without sacrificing a major artery. The key points for the flap survival are utilizing the "Superficial vein-nutrient vessel of the cutaneous nerve system" and retaining a comet tail-shaped soft-tissue pedicle in the flap creation.
authors: Department of Plastic Surgery, Weifang Municipal Hospital, Shandong, Weifang 261021, China.
authors: Chu-zhong
authors: CZ
authors: Li
authors: Jin-zhi
authors: JZ
authors: Hao
authors: Yi-xin
authors: YX
authors: Zhang
authors: De-kuan
authors: DK
authors: Feng
authors: Long-jiang
authors: LJ
authors: Wang
authors: Peng-kang
authors: PK
authors: Xiao
authors: Peng-yun
authors: PY
authors: Chen
authors: Si-feng
authors: SF
authors: Wang
mesh_terms: D001158:Arteries; D005500:Follow-Up Studies; D006801:Humans; D009336:Necrosis / Q000209:etiology / Q000601:surgery; D012867:Skin / Q000293:injuries* / Q000473:pathology; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply* / Q000473:pathology / Q000637:transplantation*; D013848:Thigh; D014945:Wound Healing