title: [Superficial peroneal neurocutaneous vascular axial adipofascial-cutaneous flap pedicled with lateral supramalleolar perforator for coverage of donor site defects at foot dorsum].
abstract: OBJECTIVE
  To report the operative techniques and clinical results of modified superficial peroneal neurocutaneous propeller adipofascial-cutaneous flap for reconstruction of donor site defects at foot dorsum.
  
  
  METHODS
  A propeller adipofascial flap with a skin pedicle (4-6 cm in width) based on the lateral superamalleolar perforating artery which vascularized the flap through the nutrient vessel chain of the superficial peroneal nerve was designed to repair defects after harvesting of foot pedicled dorsal flap. The defects at donor site of the leg was closed directly and split-thickness skin grafting was performed on the adipofascial surface of the flap primarily or secondarily.
  
  
  RESULTS
  From May 2007 to Oct. 2011, 7 cases were treated. All flaps were transplanted successfully with satisfactory cosmetic and functional results. The flaps size ranged from 19 cm x 8 cm to 30 cm x 11 cm.
  
  
  CONCLUSIONS
  The flap has reliable blood supply with a relatively large vascularized area, long rotation are and minimum donor-site cosmetic morbidity. It' s a simple and safe procedure which is suitable for covering donor sites defects after harvesting foot pedicled dorsal flap.
authors.affiliation: Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
authors.forename: Xue-Song
authors.initials: XS
authors.lastname: Chen
authors.affiliation: Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
authors.forename: Yong-Qing
authors.initials: YQ
authors.lastname: Xu
authors.affiliation: Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
authors.forename: Jian-Ming
authors.initials: JM
authors.lastname: Chen
authors.affiliation: Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
authors.forename: Yuan-San
authors.initials: YS
authors.lastname: Wang
authors.affiliation: Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
authors.forename: Li
authors.initials: L
authors.lastname: Guan
authors.affiliation: Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
authors.forename: Xiao-Jun
authors.initials: XJ
authors.lastname: Yu
authors.affiliation: Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
authors.forename: Jian-Ming
authors.initials: JM
authors.lastname: Xu
authors.affiliation: Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
authors.forename: Yan-lin
authors.initials: YL
authors.lastname: Li
mesh_terms: D000328:Adult; D005260:Female; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010543:Peroneal Nerve / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation; D055815:Young Adult