SOFT TISSUE RECONSTRUCTION AROUND THE ANKLE WITH PERONEAL AND POSTERIOR TIBIAL ARTERY PERFORATOR FLAPS: A RANDOMIZED CONTROLLED TRIAL | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 08 June 2022 | ||
| Document Type: Research article | ||
| DOI: 10.21608/ejprs.2022.139891.1185 | ||
| Authors | ||
| Mahmoud Khairy Elshewy* 1; Mohamed radwan Elhadidy2; Sameh Roshdy3; Mohamed Elsaid Abdelshaheed1; Ahmed Elsaaid Zayed1 | ||
| 1plastic surgery department, mansoura university | ||
| 2Faculty of Medicine,Mansoura Uni. | ||
| 3oncology surgery center, mansoura university | ||
| Abstract | ||
| ABSTRACT ‘ Back ground: Soft tissue defects of the ankle region continue to present a difficult reconstructive challenge to the reconstructive surgeon, a number of flaps, such as fasciocutaneous, muscle, perforator, and free flaps, have been described to reconstruct these defects, and each flap has its own advantages, disadvantages, and indications. This randomized controlled study to compare between peroneal artery perforator flap and posterior tibial artery perforator flap for the ankle region reconstruction and finding out advantages and disadvantages of each flap. Methods: Between July 2020 and April 2022 (22 patients) presented with soft tissue defects of the ankle and distal to the ankle regions with exposed vital structures as bones and tendons, who were randomized into two equal groups group A: The peroneal perforator flap group (11 patients) and group B: The posterior tibial perforator flap group (11 patients). Post-operative complications were the primary outcome. Results: In total 22 patients with tissue defects around the ankle region were operated with either peroneal artery perforator flap and posterior tibial artery perforator flap 11 cases in each group, the post-operative flap complications were more with propeller peroneal artery perforator flap and with pedicled posterior tibial artery perforator flap. Conclusion: the peroneal artery perforator flap better elevated as pedicled while the posterior tibial artery perforator flap better elevated as propeller. | ||
| Keywords | ||
| peforator flaps; posterior tibial flap; peroneal flap; leg reconstruction | ||
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