Peroneal Artery Adipofascial Flaps for Coverage of Distal Leg and Rearfoot

Clin Podiatr Med Surg. 2020 Oct;37(4):681-697. doi: 10.1016/j.cpm.2020.07.005.

Abstract

Chronic wounds of the lower extremity can pose several obstacles for the treating physician as well as the patient. Peroneal artery adipofascial flaps have been shown to be a reliable and durable option for reconstruction of these defects for many reasons, including ease of dissection, minimized donor site mobility, reliability of take to underlying surfaces, and cosmetically more pleasing outcome. This article discusses the current literature regarding the use of peroneal artery adipofascial flaps and our surgical technique for harvest, transfer, and postoperative course for this versatile flap.

Keywords: Adipofascial; Flap; Free flap; Peroneal; Tibial; Wound; Wound care.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adipose Tissue / transplantation*
  • Adult
  • Arteries / anatomy & histology
  • External Fixators
  • Fascia / transplantation*
  • Fasciitis, Necrotizing / surgery
  • Female
  • Foot Ulcer / surgery
  • Gangrene / surgery
  • Heel / surgery*
  • Humans
  • Lower Extremity / surgery*
  • Male
  • Middle Aged
  • Postoperative Care
  • Postoperative Complications
  • Surgical Flaps / blood supply*