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Abstract
Anatomical dissections, dye studies and clinical experience with the highly versatile inferiorly based medial lower leg fasciocutaneous flap, originally described by Amaranteet al.,1 have been described.
Clinical uses include cover of the lower half of the tibia, foot and tendo achilles. Variations of the flap are described. The flap has been used in 42 clinical cases with only 2 failures and 2 partial failures. The dissection of the flap is quick and simple and the perforators reliable. The flap has obviated the need for a free flap in many of the cases, thus increasing the turnover in a busy unit.
Dye injection studies and clinical experience have alerted us to the random nature of the flap in the proximal segment as described by Amarante.1 In high risk patients we modify the design.
Reference
- A new distally based fasciocutaneous flap of the leg.Br J Plast Surg. 1986; 39: 338-340
- The Doppler probe for planning flaps: anatomical study and clinical applications.Br J Plast Surg. 1990; 43: 1-16
- Use of a pedicled fascial flap based on septocutaneous perforators of the posterior tibial artery for repair of distal lower limb defects.Br J Plast Surg. 1992; 45: 141-145
- Reconstruction of the lower leg and foot with the reverse pedicled posterior tibial fasciocutaneous flap.Br J Plast Surg. 1989; 42: 512-516
- Cross leg posterior tibial artery fasciocutaneous island flap for reconstruction of lower leg defects.Br J Plast Surg. 1992; 45: 62-65
- The distally based posterior tibial arterial adipofascial flap.Br J Plast Surg. 1992; 45: 284-287
Article info
Publication history
Accepted:
July 13,
1993
Received:
April 2,
1993
Identification
Copyright
© 1993 The British Association of Plastic Surgeons. Published by Elsevier Inc.
