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CC BY-NC-ND 4.0 · Indian J Plast Surg 2022; 55(04): 383-390
DOI: 10.1055/s-0042-1760091
Original Article

Reverse Peroneal Artery Flap—A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot

Lakshmi Palukuri
1   Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, India
,
Raja Kiran Kumar Goud Ireni
1   Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, India
,
Faiyaz Abdul Jabbar
2   Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India
,
Shaleena Sukumaran Nair
1   Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, India
,
Pranav Reddy Jambula
1   Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, India
,
Vijaybabu Kommu
2   Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India
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Abstract

Background Reconstruction of large foot and ankle defects is a difficult task due to less available local soft tissue and more critical from functional point of view. To overcome the limitations associated with locoregional flaps and free flaps, reverse peroneal artery (RPA) flap was selected and its usefulness in reconstruction of distal large defects of the ankle and foot and its complications were studied.

Materials and Methods This is a prospective observational study done in 20 patients treated as cohort within 2 years and 8 months from January 2018 to August 2020. Large defects of foot and ankle were reconstructed with RPA flap and evaluated for its usefulness. Three cases were evaluated with computed tomography angiography postoperatively, to assess the vascular pattern.

Conclusion RPA flap is a versatile and very reliable flap for the reconstruction of large and distal defects of foot and ankle. It is safely done in children and in acute trauma without any major complications.

Keywords

reverse peroneal artery flap - reconstruction of foot and ankle defects - peroneal perforator fasciocutaneous flaps - reverse flow flaps - CT peripheral angiogram - peroneal artery communications

Patient Consent

The authors certify that they have obtained all appropriate patient consent forms.




Publication History

Article published online:
20 January 2023

© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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