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Case Report
Online Published: 22 Dec 2015
 


A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap

Fikret Eren, Cenk Melikoglu, Ceyhun Cesur, Bilge Kaan Aysal, Celalettin Sever.


Abstract
Management of lower third limb defects is a common challenge for the reconstructive surgeon due to a lack of soft tissue in that anatomic area. Traditionally, lower third of the limb defects were usually reconstructed with free flaps. The evolution of reconstructive surgery enabled thinner and pliable flaps to be harvested for the purpose of minimizing morbidity from muscle inclusion into the flap. With the introduction of perforator flaps, repairing of small and medium size defects of the distal lower third of leg and ankle region is possible with minimal donor site morbidity. Perforator flaps are based on cutaneous, small diameter vessels that arise from a main pedicle that adjacently perforates the fascia to reach the skin. In this article, we present our experience with two cases involving the repair of these defects by using posterior tibial artery perforator flaps.

Key words: Perforator flaps, posterior tibial artery, propeller flaps, reconstruction


 
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How to Cite this Article
Pubmed Style

Eren F, Melikoglu C, Cesur C, Aysal BK, Sever C. A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap. Hand Microsurg. 2015; 4(3): 67-70. doi:10.5455/handmicrosurg.1737

Web Style

Eren F, Melikoglu C, Cesur C, Aysal BK, Sever C. A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap. https://handmicrosurgeryjournal.com/?mno=1737 [Access: June 27, 2026]. doi:10.5455/handmicrosurg.1737

AMA (American Medical Association) Style

Eren F, Melikoglu C, Cesur C, Aysal BK, Sever C. A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap. Hand Microsurg. 2015; 4(3): 67-70. doi:10.5455/handmicrosurg.1737


Vancouver/ICMJE Style

Eren F, Melikoglu C, Cesur C, Aysal BK, Sever C. A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap. Hand Microsurg. (2015), [cited June 27, 2026]; 4(3): 67-70. doi:10.5455/handmicrosurg.1737


Harvard Style

Eren, F., Melikoglu, . C., Cesur, . C., Aysal, . B. K. & Sever, . C. (2015) A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap. Hand Microsurg, 4 (3), 67-70. doi:10.5455/handmicrosurg.1737


Turabian Style

Eren, Fikret, Cenk Melikoglu, Ceyhun Cesur, Bilge Kaan Aysal, and Celalettin Sever. 2015. A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap. Hand and Microsurgery, 4 (3), 67-70. doi:10.5455/handmicrosurg.1737


Chicago Style

Eren, Fikret, Cenk Melikoglu, Ceyhun Cesur, Bilge Kaan Aysal, and Celalettin Sever. "A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap." Hand and Microsurgery 4 (2015), 67-70. doi:10.5455/handmicrosurg.1737


MLA (The Modern Language Association) Style

Eren, Fikret, Cenk Melikoglu, Ceyhun Cesur, Bilge Kaan Aysal, and Celalettin Sever. "A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap." Hand and Microsurgery 4.3 (2015), 67-70. Print. doi:10.5455/handmicrosurg.1737


APA (American Psychological Association) Style

Eren, F., Melikoglu, . C., Cesur, . C., Aysal, . B. K. & Sever, . C. (2015) A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap. Hand and Microsurgery, 4 (3), 67-70. doi:10.5455/handmicrosurg.1737




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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