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Distally Based Posterior Tibial Artery Perforator Flaps for Reconstruction of the Defects in Achilles Region

Li, Pandeng MS*,†; Li, Zhihua MS*; Shen, Guoliang MD

doi: 10.1097/SAP.0000000000001909
Reconstructive Surgery

Background Patients with Achilles region defects remain a challenge for clinicians. The purpose of this article is to evaluate the surgical procedure to reconstruct the defects in Achilles region using distally based posterior tibial artery perforator flaps.

Methods Between May 2015 and May 2017, 10 patients (aged from 35 to 68 years. 4 females and 6 males) with soft-tissue defects (sizes from 3 × 2 cm to 8 × 4 cm) in Achilles region received surgical therapy of posterior tibial artery perforator flap transplantation in the Affiliated Hospital of Xuzhou Medical University.

Results The length of hospital stay ranged from 10 to 15 days (mean, 12 days). Local small superficial necrosis (5% of the area) was observed in only 1 case; however, it healed well after dressing was changed. All the others survived and healed well. At follow-up ranging from 12 to 24 months, all patients were satisfied with the aesthetic and functional aspects.

Conclusions Using the posterior tibial artery perforator flaps to cover the Achilles region defects is a promising, feasible, first-line, safe option and should be extensively applied in clinical therapy.

From the *Department of Burn Plastic Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou

Department of Burn Plastic Surgery, The First Affiliated Hospital of Soochow University, Soochow University, Suzhou, China.

Received September 24, 2018, and accepted for publication, after revision January 29, 2019.

Conflicts of interest and sources of funding: none declared.

Reprints: Pandeng Li, MS, The Affiliated Hospital of Xuzhou Medical University, 99 Huaihai West Rd, Xuzhou, Jiangsu Province, China 221000. E-mail:

Online date: June 20, 2019

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