Medial sural perforator plus island flap: A modification of the medial sural perforator island flap for the reconstruction of postburn knee flexion contractures using burned calf skin

Kim KS, Kim ES, Hwang JH, et al (Chonnam Natl Univ Med School, Dong-gu, Gwangju, Korea) J Plast Reconstr Aesthet Surg 65:804-809, 2012^§

Abstract

Background

The medial sural perforator island flap may be suitable for the reconstruction of postburn knee flexion contractures. However, postburn knee flexion contractures are usually associated with burns of the calf, which is the donor site of the medial sural perforator flap. Thus, there are concerns regarding the safety of raising medial sural perforator flaps from burned calves.

Methods

Between 2005 and 2010, 12 patients (11 males and 1 female) with postburn knee flexion contractures associated with second-degree burns of the calf (that healed by secondary intention) underwent reconstruction using a medial sural perforator island flap (based on the medial sural perforator) or medial sural perforator plus island flap (based on the medial sural perforator and other vessels that are pedicles of the sural flaps).

Results

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