title: A reversed superficial peroneal neurocutaneous island flap based on the descending branch of the distal peroneal perforator: clinical experiences and modifications.
abstract: The distally based neurocutaneous flaps have been popular for lower leg and foot reconstruction. On the basis of pre-existing anatomic studies and clinical experiences, we designed a reversed superficial peroneal neurocutaneous island flap with the descending branch of the distal peroneal perforator as the pedicle. The flap is supplied through both axial perforator and longitudinal chain-linked vascular plexuses. This modified neurocutaneous island flap, measuring around 5 cm x 4 cm to 12 cm x 13 cm in size, was transferred for coverage of foot soft-tissue defects in 21 cases with a low complication rate. Compared to the original neurocutaneous flap, the rotation point of this flap is more distal and the pedicle is thinner. It could provide good texture and contour matching to the recipient area. In conclusion, the modified neurocutaneous island flap provides a reliable tool for repairing soft-tissue defects of the ankle and foot.
authors: Department of Orthopedic Surgery, The Sixth People's Hospital, Jiao Tong University, Shanghai, China.
authors: Yimin
authors: Y
authors: Chai
authors: Bingfang
authors: B
authors: Zeng
authors: Peihua
authors: P
authors: Cai
authors: Qinlin
authors: Q
authors: Kang
authors: Yunfeng
authors: Y
authors: Chen
authors: Chunyang
authors: C
authors: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D001158:Arteries; D005260:Female; D005528:Foot / Q000098:blood supply / Q000294:innervation / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D010543:Peroneal Nerve; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation; D016896:Treatment Outcome