Medial Sural Artery Perforator Free Flap: Legitimate Use as a Solution for the Ipsilateral Distal Lower Extremity Defect

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Medial sural artery perforator free flap: legitimate use as a solution for the ipsilateral distal lower extremity defect.

The medial sural artery perforator (MSAP) flap captures the cutaneous territory of the medial calf, and can potentially be advantageous as a thin free flap, even in the most obese individual, for coverage of most foot and/or ankle defects where bulk is a liability. The anatomy is fairly constant, as usually at least one reasonably large perforator can always be found emanating from the medial h...

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Surgical anatomy of the medial sural artery perforator flap.

BACKGROUND The medial sural (medial gastrocnemius) perforator flap is a thin flap with a long pedicle. It has tremendous potential for applications in a variety of soft-tissue defects. We aimed to further clarify the vascular anatomy of the medial sural region and establish a safe approach for elevation of this flap. METHODS Ten fresh cadaveric lower limbs were injected and used in this study...

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Medial Sural Artery Perforator Flap: Using the Superficial Venous System to Minimize Flap Congestion

813 free perforator flap surgery and always have a second option in mind in case of flap failure. Further, a sufficient understanding of the wound characteristics, donor and recipient vessels, and design for insetting should precede the surgery. Lastly, the skin graft over the muscle flap is less durable than the fasciocutaneous flap and tends to form a callus. To prevent this complication, a p...

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Sural Versus Perforator Flaps for Distal Medial Leg Wounds.

Soft tissue coverage of distal medial ankle wounds is a challenging problem in orthopedic surgery because of the limited local tissues and prominent instrumentation. Traditionally, these wounds required free tissue transfer to achieve suitable coverage and subsequent bony union. To better respect the reconstructive ladder and to avoid the inherent difficulty of free flap coverage, rotational fl...

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Tounge Reconstruction with Medial Sural Artery Perforator Flap: A Case Report

There are numerous perforator flaps reported in the literature for head and neck reconstruction. We are presenting a case report of squamous cell carcinoma of Tongue which was operated by hemi glossectomy, modified radical neck dissection and reconstruction was done with medial sural artery perforator flap (MSAP). Preoperatively handheld Doppler was used to identify the perforator. The size of ...

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ژورنال

عنوان ژورنال: Journal of Reconstructive Microsurgery

سال: 2013

ISSN: 0743-684X,1098-8947

DOI: 10.1055/s-0033-1357276