Adjacent V-Y advanced perforator flap for defect at donor site leaving by six commonly-used flaps / 中华整形外科杂志

ABSTRACT

Objective@#To summarize 7 adjacent V-Y advanced perforator flaps for defects at donor sites leaving by six commonly-used flaps.@*Methods@#From May 2007 to Jan. 2014, 66 cases with hands and feet skin defects, tendon and bone exposure were treated with reverse island flap(15 cases), thumb dorsal artery island flaps (9 cases), dorsal metacarpal artery island flaps (9 cases), abdominal pedicle flaps (9 cases), free anterolateral thigh flaps (15 cases), sural nerve retrograde island flaps (9 cases). The defects at donor sites were covered by adjacent V-Y advanced perforator flaps, including dorsal metacarpal perforator flap, snuffbox perforator flap, dorsal carpal perforator flap, deep iliac circumflex artery musculocutaneous perforating branches flap, outer knee perforator flap, medial thigh perforator flap, proximal posterior tibial artery.@*Results@#All the six common flaps survived with average healing period of 15 days. Only one adjacent V-Y advanced outer knee perforator flap underwent partial necrosis at the proximal flap end which healed after dressing. All the other V-Y advanced flaps survived. The patients were followed up for 5-24 months (8 on average) with satisfactory flap texture and color both at reconstructed area and donor sites. The adjacent joints had normal movement function.@*Conclusions@#Adjacent V-Y advanced perforator flap is an important method for closure of defects at donor sites. It has the advantages of no sacrifice of main artery, satisfactory result and easy performance.