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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Zhang Yan,Jin Guangzhe,Cao Yang,et al.Efficacy of turbocharged medial sural artery perforator flap in repairing skin and soft tissue defects of hands and feet[J].Chin J Burns Wounds,2026,42(3):1-6.DOI: 10.3760/cma.j.cn501225-20241029-00419.
Citation: Zhang Yan,Jin Guangzhe,Cao Yang,et al.Efficacy of turbocharged medial sural artery perforator flap in repairing skin and soft tissue defects of hands and feet[J].Chin J Burns Wounds,2026,42(3):1-6.DOI: 10.3760/cma.j.cn501225-20241029-00419.
shu

Efficacy of turbocharged medial sural artery perforator flap in repairing skin and soft tissue defects of hands and feet

doi: 10.3760/cma.j.cn501225-20241029-00419
  • 1.

    Department of Hand Surgery, Suzhou Ruihua Orthopaedic Hospital, Suzhou 215104, China

  • 2.

    Suzhou Medical College of Soochow University, Suzhou 215123, China

  • 3.

    Department of Wound Repair, Suzhou Ruihua Orthopaedic Hospital, Suzhou 215104, China

Funds:

Suzhou Key Medical Discipline SZXK202127

More Information
  • Corresponding author: Jin Guangzhe, Email: jgz2020@suda.edu.cn
  • Received Date: 2024-10-29
    Available Online: 2026-03-03
    Abstract
  •   Objective  To explore the efficacy of turbocharged medial sural artery perforator flap in repairing skin and soft tissue defects of hands and feet.  Methods  This study was a retrospective case series study. From September 2022 to November 2023, 12 patients with skin and soft tissue defects of hands and feet who met the inclusion criteria were admitted to Suzhou Ruihua Orthopaedic Hospital, including 8 males and 4 females, aged 32-69 years. After debridement, the wound defect area ranged from 5.5 cm×3.5 cm to 13.5 cm×5.5 cm. The defects were repaired with turbocharged medial sural artery perforator flaps with an area of 6.0 cm×4.0 cm to 14.0 cm×6.0 cm, and the donor site wounds were directly closed by suturing. The flap harvesting status, postoperative survival, occurence of vascular crisis, and healing of donor site wounds were recorded. During follow-up, the appearance and texture of the flaps, as well as the scarring and pain of the donor site wounds were observed. At the last follow-up, a comprehensive evaluation scale was used to assess the flap transplantation effect, and the British Medical Research Council sensory function grading standard was adopted to evaluate the sensory function of the flaps.  Results  All flaps were harvested successfully and survived well postoperatively without vascular crisis; all donor site wounds healed smoothly. Follow-up for 6-15 months showed that the flaps had a good appearance and excellent texture, and the donor site wounds only were left with linear scars without scar contracture, pain, or other discomfort. At the last follow-up, 9 cases were rated as excellent and 3 cases as good in terms of flap transplantation effect; the sensory function of the flaps was graded as grade S1 in 1 case, grade S2 in 8 cases, and grade S3 in 3 cases.  Conclusions  The application of turbocharged medial sural artery perforator flap for repairing skin and soft tissue defects of hands and feet achieves good postoperative appearance and function recovery of both donor and recipient sites, making it one of the effective repair methods of this kind of defect.

     

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