ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Risk factors related to the partial necrosis of the posterior tibial artery perforator-plus fasciocutaneous flap.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 7 citations in OpenAlex.
- Rescue for Partially Necrotic Peroneal Propeller Flap Using Free Perforator Flap From Same Flap.Plastic and reconstructive surgery. Global open · 2026Article
- Anatomical study of the medial sural artery perforator flap and its application in the reconstruction of infected defects.Frontiers in cellular and infection microbiology · 2026Article
- [Interventional revascularization combined with perforator composite flap for staged treatment of peripheral arterial disease with ankle soft tissue defects].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- [Anatomical study of the architecture of the cutaneous branch-chained blood vessels in the medial lower leg in adult].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2023Article
- Hemodynamics in Distally Based Sural Flaps for Lower Leg Reconstruction: A Literature Review.Journal of hand and microsurgery · 2023Review
- Analysis of the Risk Factors for Free Flap Necrosis in Soft Tissue Reconstruction of the Lower Limbs.Orthopaedic surgery · 2023Article
- Modified lateral gastrocnemius myocutaneous flap with extended anterior and/or inferior boundary.Scientific reports · 2022Article
- Combined versus Single Perforator Propeller Flaps for Reconstruction of Large Soft Tissue Defects: A Retrospective Clinical Study.Journal of personalized medicine · 2022Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
PURPOSE AND
backgroundThe posterior tibial artery perforator-plus fasciocutaneous (PTAPF) flap is commonly used for defects over the distal lower extremity. However, the causes of partial necrosis of the PTAPF flap are unknown. This paper aimed to explore the factors related to the partial necrosis of the PTAPF flap.
methodsA retrospective study was conducted on 59 patients who received the PTAPF flap for soft-tissue defects between September 2007 and September 2017. The clinical outcomes of the flap were evaluated, and the patient and surgical factors related to flap survival were analyzed.
resultsOf the 59 patients, 9 (15.25%) flaps exhibited partial necrosis. No significant differences were found between the survival and partial necrosis groups regarding gender, age, soft tissue defect site, length and width of the fascia pedicle, length of the skin island, length-width ratio (LWR), and pivot point (P > 0.05). However, the survival group showed significantly less width of the skin island and total length of the flap than the partial necrosis group (P < 0.05). Multiple logistic regression analysis revealed that the width of the skin island was an independent risk factor affecting partial flap necrosis (OR = 4.028; P = 0.041).
conclusionsThe PTAPF flap can be effectively used to repair small and medium wounds of the lower and middle leg, ankle and foot. As the width of the skin island exceeds 6 cm, the risk of partial flap necrosis significantly increases.
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