Reconstruction of broad soft tissue defect around knee with combined perforator flaps


Year : 2025 | Volume : 14 | Issue : 01 | Page : –
    By

    Sang Bong Ri,

  • Jun Song Ryu,

  • Kuk Chol Kim,

  • Chang Gol Rim,

  • Kang Chol Kim,

  1. Researcher, Department of Plastic Surgery, Pyongyang General Hospital, DPR, Korea
  2. Researcher, Department of Plastic Surgery, Pyongyang General Hospital, DPR, Korea
  3. Researcher, Department of Plastic Surgery, Pyongyang General Hospital, DPR, Korea
  4. Researcher, Department of Plastic Surgery, Pyongyang General Hospital, DPR, Korea
  5. Researcher, Department of General Surgery, Pyongyang University of Medical Sciences, DPR, Korea

Abstract

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Perforator flaps have been commonly used in reconstruction of soft tissue defects nowadays; however, it is very important to apply them properly according to the characteristics of recipient site. Since there is no universal flap appropriate to various types of defects, there have been a number of research to apply appropriate perforator flaps suitable to recipient sites. Recently, achievements have been made by applying chimeric flaps based on perforators from a source artery and combined flaps based on perforators from different source arteries. For example, combined flaps of deep femoral perforator and gracilis perforator, lateral circumflex femoral artery and tensor fascia lata perforator, and lateral vastus muscle and anterior, lateral thigh perforator have been suggested in the literatures. It is a key point to use appropriate perforator flap minimizing donor site morbidity according to the location and size of defects. We are describing a case of covering a soft tissue defect at the knee with combination of medial sural artery perforator flap and medial vastus medialis artery perforator flap.

Keywords: Soft Tissue Defect, Combined Perforator Flap, Chimeric flaps, Gracilis perforator, Anterior thigh perforator.

[This article belongs to Research and Reviews : Journal of Surgery (rrjos)]

How to cite this article:
Sang Bong Ri, Jun Song Ryu, Kuk Chol Kim, Chang Gol Rim, Kang Chol Kim. Reconstruction of broad soft tissue defect around knee with combined perforator flaps. Research and Reviews : Journal of Surgery. 2025; 14(01):-.
How to cite this URL:
Sang Bong Ri, Jun Song Ryu, Kuk Chol Kim, Chang Gol Rim, Kang Chol Kim. Reconstruction of broad soft tissue defect around knee with combined perforator flaps. Research and Reviews : Journal of Surgery. 2025; 14(01):-. Available from: https://journals.stmjournals.com/rrjos/article=2025/view=0


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References

  1. Cavadas PC, Sanz-Gime´nez-Rico JR, Gutierrez-de la Ca´maraA, Navarro-Monzonı´s A, Soler-Nomdedeu S, Martı´nez-Soriano F. The medial sural artery perforator free flap.Plast Reconstr Surg. 2001,108;1609-15.
  2. Dusseldorp JR, Pham QJ, Ngo Q, Gianoutsos M, Moradi P. Vascular anatomy of the medial sural artery perforator flap: a new classification system of intra-muscular branching patterns. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2014 Sep 1;67(9):1267-75.
  3. Chen SL, Chuang CJ, Chou TD, Chen TM, Wang HJ. Free medial sural artery perforator flap for ankle and foot reconstruction. Ann Plast Surg. 2005,54(1);39-43
  4. Hallock GG. Medial sural artery perforator free flap: legitimate use as a solution for the ipsilateral distal lower extremity defect. Journal of reconstructive microsurgery. 2014 Mar;30(03):187-92.
  5. Kao HK, Chang KP, Chen YA, Wei FC, Cheng MH. Comparison of the medial sural artery perforator flap with the radial forearm flap for head and neck reconstructions.Plast Reconstr Surg. 2009,124(4);1125-32.
  6. Nugent M, Endersby S, Kennedy M, Burns A. Early experience with the medial sural artery perforator flap as an alternative to the radial forearm flap for reconstruction in the head and neck. British Journal of Oral and Maxillofacial Surgery. 2015 May 1;53(5):461-3.
  7. Kim ES, Hwang JH, Kim KS, Lee SY. Plantar reconstruction using the medial sural artery perforator free flap. Ann Plast Surg. 2009,62(6);679-84.
  8. Mahmoud WH. Foot and ankle reconstruction using the distally based sural artery flap versus the medial plantar flap: a comparative study. The Journal of Foot and Ankle Surgery. 2017 May 1;56(3):514-8.
  9. Kubota Y, Tsubo K, Toh S, Ogawa T. Vastus medialis muscle flap and hemi V-Y skin flap for knee extensor and soft tissue reconstruction.Ann Plast Surg. 2006,56;196-9.
  10. Whiteside LA. Surgical technique: vastus medialis and vastus lateralis as flap transfer for knee extensor mechanism deficiency. Clinical Orthopaedics and Related Research®. 2013 Jan 1;471(1):221-30.
  11. Xie XT, Chai YM. Medial sural artery perforator flap.Ann Plast Surg. 2012, 68(1);105-10.
  12. Kao HK, Chang KP, Chen YA, Wei FC, Cheng MH. Anatomical basis and versatile application of the free medial sural artery perforator flap for head and neck reconstruction. Plastic and reconstructive surgery. 2010 Apr 1;125(4):1135-45.
  13. Zheng H, Wang H, Zhang F, Yue S. Anatomic basis of perforator flaps of medial vastus muscle.Microsurgery. 2008, 28;61-4.
  14. Sahasrabudhe P, Panse N, Baheti B, Jadhav A, Joshi N, Chandanwale A. Reconstruction of complex soft-tissue defects around the knee joint with distally based split vastus lateralis musculocutaneous flap: a new technique. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2015 Jan 1;68(1):35-9.
Regular Issue Subscription Case Report
Volume 14
Issue 01
Received 08/01/2025
Accepted 28/01/2025
Published 11/02/2025
57