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Year : 2020  |  Volume : 33  |  Issue : 4  |  Page : 1315-1321

Complications of the peroneal artery perforator propeller flap in soft tissue coverage of leg defects

Department of Plastic and Reconstructive Surgery, Menoufia University Hospital, Menoufia, Egypt

Correspondence Address:
Mahmoud A Abdelaty
New Damietta, Damietta
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_114_20

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Objectives To highlight the complications of peroneal artery perforator propeller flaps in coverage of leg defects and how to avoid and manage. Background Complex soft tissue defects of the leg represent a difficult reconstructive problem. The lateral aspect of the leg, which is perfused by a number of perforators from the peroneal artery, is one of the most suitable areas for harvesting perforator flaps. Patients and methods This descriptive study included 31 patients presented by soft tissue loss of leg from January 2018 to January 2020. All patients were examined for the site, the size, and the extent of the defect. Floor of the defect was examined for exposed bone, fractures, or exposed tendons. The flaps were evaluated regarding achieving the preoperative goal for coverage of the soft tissue defects, limb function, and patient satisfaction. Results Of 31 cases, 18 healed uneventfully, and 13 cases were complicated. Five patients had partial loss of the distal end of the flap. There was a complete flap loss in two patients. Three cases had wound infection with partial dehiscence. Two cases had partial loss of the skin graft on the donor site. One case had hematoma collection under the skin graft. Conclusion Peroneal artery perforator propeller flaps provide durable coverage for complex leg defects. Complications are avoidable and easy to manage.

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