Medial sural artery perforator flap in reconstruction of soft tissue defect in upper and lower extremities: a clinical study

ABSTRACT

Background: The quality of soft tissue reconstruction in upper and lower extremities caused by trauma, infection, burns, and tumor resection affects the patient function and esthetic outcome. Many flaps have been described in the literature to reconstruct such defects. Medial sural artery perforator flap is one of the options for reconstruction of upper and lower extremities.

Patients and methods: Starting from July 2019 through August 2020, 20 pedicled and free MSAP flaps were used for reconstruction of upper and lower limbs soft tissue defects.

Results: total flap loss occurred in two cases, partial flap loss occurred in two cases and the flap was abandoned in two cases. Otherwise, all flaps survived well.

Conclusion: MSAP flap is an excellent option in the reconstruction of soft tissue defects in upper and lower extremities.

KEYWORDS:

• Reconstruction
• Free flaps
• Lower limb
• upper limp
• medial sural artery

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Notes on contributors

Shereif Ibrahim Salah Eldin Hegazy

Shereif Ibrahim Salah Eldin hegazy Assistant lecturer of Plastic and Reconstructive Surgery, Faculty of Medicine, Port Said University.

Nasser Ahmed Gozlan

Nasser Ahmed Gozlan Professor of Plastic and Reconstructive Surgery, Faculty of Medicine, Alexandria University. Fellow of Vienna University, Austeria.

Hossam Yehia Elkafrawi

Hossam Yehia Elkafrawi Assistant Professor of Plastic and Reconstructive Surgery, Faculty of Medicine, Alexandria University. Fellow of UZ Gent, Belgium.

Mohamed Mahmoud Elshafei

Mohamed Mahmoud Elshafei Assistant Professor of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria University. Consultant in ICC Radiology  center , Alexandria. Consultant in Almadina Scan Radiology center, Alexandria.Consultant in Elsafwa Scan Radiology center, Alexandria.

Hassan Mahmoud Kholosy

Hassan Mahmoud Kholosy Assistant Professor of Plastic and Reconstructive Surgery, Faculty of Medicine, Alexandria University, Egypt. Fellow of the European Board of Plastic, Reconstructive, and Aesthetic Surgery (EBOPRAS). Fellow of Barmherzige Brueder Hospital, Salzburg, Austria.