Peroneal artery perforator flap for repairing the soft tissue defects on the foot and lower 1/3 of the lateral lower leg
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Notice bibliographique
Résumé
• This is a relatively large case series (50 cases) of PAP flaps for distal lower leg and foot reconstruction, with proper functional evaluation • The study includes 25 PAPF cases and 25 pedicled PAP flaps cases, achieved dual-modality reconstruction, enabling comparison of the characteristics and clinical outcomes of each approach. • The incorporation of the lateral sural cutaneous nerve was synergistically combined with aesthetic refinement, achieving both functional sensory restoration and optimal contour outcomes. • Comprehensive and refined introduction to the surgical process. The purpose of this study is to evaluate the clinical outcomes of 50 PAP flaps cases we have treated and to compare the differences between PAPF and pedicled PAP flaps. The soft tissue defects on the foot and lower 1/3 of the lateral lower leg have been repaired using some procedures. However, improvements in function and aesthetics have not been well addressed. We have achieved some satisfactory curative effects in the application of the peroneal artery perforator (PAP) flap and conducted an analysis. This study presented our experience with PAP flaps to repair the foot and lower 1/3 of the lateral lower leg. From January 2017 to February 2022, 50 patients with these defects received total treatment using the PAP flaps. All flaps were carefully designed, including 25 patients with free anastomotic vascular flap and others with perforator-based propeller flap or pedicled flap. We followed up all patients regularly and completed standardized assessments of outcomes based on functional and aesthetic scores. 1 free flap showed arterial crisis and 3 perforator-based propeller flap showed distal mild necrosis. The remaining flaps survived successfully. At the last follow-up, the donor sites demonstrated median modified Vancouver Scar Scale (mVSS) scores of 2 (ranged, 0-5). Evaluation of 28 foot and ankle injury cases using the American Orthopaedic Foot & Ankle Society (AOFAS) system revealed: excellent outcomes in 22 cases (78.6%) and good outcomes in 6 cases (21.4%). The Semmes-Weinstein monofilament (SWM) test demonstrated normal protective sensation in 45 cases (90%) and diminished light touch perception in 5 cases (10%). Cold Intolerance Symptom Severity (CISS) scores were graded as mild in 43 cases (86%) and moderate in 7 cases (14%). Natural shapes and walking functions were achieved. The PAP flap has relatively stable and selectable perforators, is close to the recipient sites and can carry the lateral sural cutaneous nerve to reconstruct the sensation in lower limbs. It provides cosmetic coverage, allowing faster wound healing and reduced tissue adhesion. The PAP flap is one of the most ideal methods to repair the tissue defect on the foot and lower 1/3 of the lateral lower leg.
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Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle