Reconstruction of soft tissue defect of the extremity with the perforator flap from inguinal region.
BACKGROUND
The perforator flap has become a very useful reconstructive means of soft tissue defect of extremities. The perforator flap from the inguinal region has advantages that include the ability to cover a large area with little donor site morbidity and provision of suitable thickness for reconstruction.


METHODS
From July 1, 2005 to June 30, 2007, 10 patients with various types of soft tissue defect underwent reconstruction with 10 perforator flaps from the inguinal region. Six flaps were applied to the upper extremities and four flaps to the lower extremities. The dimensions of the transferred flaps ranged from 7-30 cm in length and 4-10 cm in width.


RESULTS
The postoperative course of all 10 flaps was uneventful and all flaps survived. Distal small partial necrosis was observed in one case due to arterial insufficiency of the distal part of the flap. All patients were satisfied with the functional and esthetic resurfacing outcome.


CONCLUSIONS
Use of perforator flap from the inguinal region could overcome the disadvantages of the traditional free groin flap, and represents a safe and useful tool for coverage of soft tissue defects.
Huang
Dong
D
Department of Orthopedics, No. 2 People's Hospital of Guangdong Province, Guangzhou, Guangdong, China. dong-177@163.com
Wang
Hai-wen
HW
Wang
Hong-gang
HG
Wu
Wei-zhi
WZ
Zhao
Cheng-yi
CY
D000293:Adolescent; D000328:Adult; D005121:Extremities / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps