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The Egyptian Journal of Plastic and Reconstructive Surgery
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Volume Volume 49 (2025)
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Volume Volume 46 (2022)
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Elshewy, M., ElHadidy, M., Abdel Aziz, S., Abdel Shaheed, M., Zayed, A. (2022). Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial. The Egyptian Journal of Plastic and Reconstructive Surgery, 46(3), 257-264. doi: 10.21608/ejprs.2022.254718
Mahmoud K. Elshewy; Mohamed Radwan ElHadidy; Sameh Abdel Aziz; Mohamed E.D. Abdel Shaheed; Ahmed E. Zayed. "Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial". The Egyptian Journal of Plastic and Reconstructive Surgery, 46, 3, 2022, 257-264. doi: 10.21608/ejprs.2022.254718
Elshewy, M., ElHadidy, M., Abdel Aziz, S., Abdel Shaheed, M., Zayed, A. (2022). 'Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial', The Egyptian Journal of Plastic and Reconstructive Surgery, 46(3), pp. 257-264. doi: 10.21608/ejprs.2022.254718
Elshewy, M., ElHadidy, M., Abdel Aziz, S., Abdel Shaheed, M., Zayed, A. Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; 46(3): 257-264. doi: 10.21608/ejprs.2022.254718

Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial

Article 8, Volume 46, Issue 3, July 2022, Page 257-264  XML PDF (12.49 MB)
DOI: 10.21608/ejprs.2022.254718
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Authors
Mahmoud K. Elshewy email 1; Mohamed Radwan ElHadidy1; Sameh Abdel Aziz2; Mohamed E.D. Abdel Shaheed3; Ahmed E. Zayed1
1The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Mansoura University
2The Department of General Surgery, Faculty of Medicine, Mansoura University
3The Departments of Plastic & Reconstructive Surgery* and General Surgery**, Faculty of Medicine, Mansoura University
Abstract
Background: Soft tissue defects of the ankle region
continue to present a complex reconstructive challenge to
the reconstructive surgeon. Many flaps have been used to
rebuild these defects, and each flap has its own merits and
drawbacks. This randomized controlled study was designed
to compare between the peroneal artery perforator flap and
the posterior tibial artery perforator flap for the ankle region
reconstruction and finding out advantages and disadvantages
of each flap.
Methods: Between July 2020 and April 2022, 22 patients
presented with soft tissue defects around the ankle with
exposed vital structures as bones and tendons, who were
categorized into two equal groups group 1: The peroneal
artery perforator flap group (11 patients) and group 2: The
posterior tibial artery perforator flap group (11 patients).
Post-operative complications were the primary comparative
parameters.
Results: In total 22 patients with tissue defects around
the ankle region were operated with either the peroneal artery
perforator flap and the posterior tibial artery perforator flap < br />11 cases in each group, the post-operative flap complications
as total flap loss and distal flap necrosis were (18.2%), (27.3%)
receptively in the peroneal group and (27.3%), (36.4%) in
the posterior tibial group and the mean time of flap elevation
was longer in the posterior tibial group (106.82min) compared
to the peroneal group with (64.55min).
Conclusion: The peroneal artery perforator flap is better
elevated as pedicled while the posterior tibial artery perforator
flap better elevated as propeller.
Keywords
Posterior tibial flap; Peroneal flap; Perforator flap; Ankle reconstruction
Main Subjects
Flaps
References
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