Perforator Pedicled V-Y Advanced Flaps for Coverage in the Lower Limbs

NCT ID: NCT06885450

Last Updated: 2025-03-20

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 24 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2018-04-01
• Study Completion Date: 2020-10-01

Brief Summary

Repair of soft tissue defects with hardware exposing in the lower limbs was considered as a severe challenge for plastic surgeons in reconstructive surgery. The purpose of the paper was to investigate the clinical effect of perforator pedicled V-Y advanced flap for repairing soft tissue defects with hardware exposing in the lower leg .

Detailed Description

The various causes of the lower leg defects always consist of trauma, infection, tumors etc. Flaps are often used to cover the wounds when the bones and tendons are exposed to the body surface. However, flap coverage at the lower leg was considered a severe challenge due to the difficult anatomy and paucity of soft tissue1. Reconstruction and esthetic aspects of defect should be systemically considered .Common skin flaps include the peroneal perforator flap, the medial sural artery perforator flap2-8and muscle flaps. However, common skin flaps have a disadvantage of reversing of the pedicle which may be a reason of necrosis. A split thickness skin graft was usually applied to cover close secondary wound at the donor site. The aim of this paper was to investigate the clinical effect of V-Y advanced flaps based on septocutaneous and musculocutaneous perforator in the repair of soft-tissue wounds in the lower limbs.

Conditions

Soft Tissue Defects; Perforator Flap

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: CROSS_SECTIONAL

Interventions

Perforator Pedicled Flaps

Perforator Pedicled V-Y Advanced Flaps

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

1. people age: among 5-80years,

2. tolerate general anesthesia.

3. The perforating vessel is fine.

Exclusion Criteria

1. patients age :<5years,>80years

2. can not tolerate general anesthesia.

3. The perforating vessel is damaged -

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The Affiliated Hospital of Xuzhou Medical University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

the affiliated hospital of xuzhou medical university

Role: STUDY_CHAIR

The Affiliated Hospital of Xuzhou Medical University

Locations

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

Countries

China

References

Choi JW, Nam SY, Choi SH, Roh JL, Kim SY, Hong JP. Applications of medial sural perforator free flap for head and neck reconstructions. J Reconstr Microsurg. 2013 Sep;29(7):437-42. doi: 10.1055/s-0033-1343959. Epub 2013 Apr 24.

Reference Type: BACKGROUND

PMID: 23616252 (View on PubMed)

Mendieta M, Cabrera R, Siu A, Altamirano R, Gutierrez S. Perforator Propeller Flaps for the Coverage of Middle and Distal Leg Soft-tissue Defects. Plast Reconstr Surg Glob Open. 2018 May 2;6(5):e1759. doi: 10.1097/GOX.0000000000001759. eCollection 2018 May.

Reference Type: BACKGROUND

PMID: 29922552 (View on PubMed)

Other Identifiers

XYFY-SSZX

Identifier Type: -

Identifier Source: org_study_id