Reconstruction of soft tissue defects of the Achilles region: a simple algorithm through a lateral approach

ConclusionsPeroneal artery perforators are safe for the elevation of a perforator-based flap. In case of no suitable perforator, it is possible to harvest a db-PB flap through the same surgical incision. EPAP flap can be used as rescue-procedure after harvesting a propeller PAP flap. For small-to-moderate defects, a lateral approach provides a reconstructive armamentarium that ranges from the propeller perforator flaps, to those extended up to peroneal artery to the distally-based peroneus brevis muscle.Level of EvidenceLevel IV, Therapeutic Study
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research