Abstract
How to deal with large soft tissue defects around the foot and ankle is still controversial.
The aim of this study was: (1) to display a new pedicled flap, also named the dual-perforator
flap with wide pedicle (DPFWP), and (2) to compare it with the sural neurovascular
flap with peroneal artery perforator (SNFPAP) in foot and ankle reconstruction. According
to different surgical methods, 82 patients were divided into 2 groups: the DPFWP group
(42 cases) and the SNFPAP group (40 cases). All cases underwent a flap surgery after
radical debridement. The 2 groups were homogeneous in terms of age, sex, body mass
index (BMI), etiology, location, and follow-up duration. Operation indexes were compared,
including flap length, flap width, operation time and blood loss. Complications, cosmetic
appearance, and functional outcome were analyzed, and statistical analysis was performed.
The DPFWP group had larger flap length (24.5 ± 4.6 cm vs 16.3 ± 3.8 cm), and flap
width (10.5 ± 2.7 cm vs 7.8 ± 1.7 cm) than the SNFPAP group. In postoperative follow-up,
DPFWP group showed a lower complication rate and better cosmetic, functional outcomes
than SNFPAP group. In conclusion, this study showed that a DPFWP flap brought better
results than a SNFPAP flap in terms of complications, cosmetic appearance, and functional
outcomes for patients undergoing reconstruction of foot and ankle defects.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: June 11, 2022
Footnotes
Financial Disclosure: This study was financially supported by the National Natural Science Foundation of China (81600700), the Project of Science and Technology Department of Shanxi Province (2021SF-243), and the project grant from the Scientific Research Program of Xi'an Health Commission (2021yb26).
Conflict of Interest: None reported.
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