[Reverse fasciocutaneous flap pedicled with perforator branch of anterior medial malleolus artery for soft tissue defect on the dorsal side of foot].
OBJECTIVE
To report the therapeutic effect of reverse fasciocutaneous flap pedicled with perforator branch of anterior medial malleolus artery for soft tissue defect on the dorsal side of foot.


METHODS
The perforator branch was located under the guidance of Doppler flowmeter. The flap was designed along the saphenous neurovascular axis. Then the flap was transferred reversely with the perforator branch as rotation point.


RESULTS
From Feb. 2002 to Mar. 2008, 12 cases were treated and followed up for 6 - 18 months. All the flaps survived completely. The flap size ranged from 13.5 cm x 3.0 cm to 8 cm x 3 cm. The perforator branch located at 0.5 - 1.5 cm anterior-inferior to the medial malleolus. Both the cosmetic and functional results were satisfactory.


CONCLUSIONS
The flap has a reliable blood supply and a flexible design. It is easily performed for soft tissue defect on the dorsal side of foot. It is a new type flap which combined neurocutaneous vascular flap with the perforator flap.
Department of Orthopaedics, Zhoushan People's Hospital, Zhoushan 316004, China.
Qi-Wen
QW
Hu
Xue-Song
XS
Wang
Feng
F
Xue
Wei-Fang
WF
Sun
Wan-Xiang
WX
Shen
Jia-Yi
JY
Zhao
D000328:Adult; D005205:Fascia / Q000637:transplantation; D005260:Female; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation