Abstract
Background and objectives: Reconstruction of soft tissue defect of the distal leg and foot regarded as a major task in plastic reconstructive surgery, durable coverage of such defect is usually needed. Using of local flap based on single perforator raising interest for reconstructive surgeon to reconstruct leg. The aim of study is to evaluate the versatility of perforator flap for reconstruction of the soft tissue defect in distal leg and foot according to: donor sit morbidity, flap viability and extent of coverage. Method: This is prospective study conducted in KRG (Kurdistan region government) of Iraq, twelve patient involved in this study, seven of them are males (n=7) and the other were females (n=5), mean age 31 years (8-62), with soft tissue defect mean (5.8-14.5cm), defect where located in distal leg in eleven patients and two located in foot, all defects was due to road traffic accident treated with perforator flap (one patient both legs operated). Results: in this study twelve patient involved and thirteen procedure done for them, in eight out of thirteen procedures the flap survived totally without complication 61.5%, in one patient flap is totally lost 7.7%, while in other develop complication in form of partial necrosis in three cases 23.1% and flap congestion in one case. Conclusion: The perforator flap is reliable flap for soft tissue reconstruction of distal leg and foot and can replace free flap in our practice in selected cases.
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