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Handchir Mikrochir Plast Chir 2022 Jun 22. Epub 2022 Jun 22.

Städtisches Klinikum Sankt Georg Leipzig, Klinik für Plastische und Handchirurgie mit Schwerbrandverletztenzentrum.

Background: Soft tissue defects in the achilles tendon region occur after trauma, but also as a complication after open recon- struction of the tendon with subsequent infection.

Objectives: Recommendations for the treatment of soft tissue injuries involving the Achilles tendon are presented.

Materials And Methods: A search of the German, French and English literature on reconstruction of soft tissue defects of the Achilles tendon region was performed, which were differentiated into singular and combined tendocutaneous defects. Read More

Ann Plast Surg 2022 Jun 11. Epub 2022 Jun 11.

Division of Surgery and Critical Care, Stoke Mandeville Hospital, Aylesbury, United Kingdom.

Background: The mainstay of treatment for venous ulceration is conservative wound management and lifelong compression therapy. For patients with recalcitrant ulcers, free flap reconstruction has been proposed as a treatment option to reconstruct the diseased soft tissues as well as the underlying insufficient venous system. This review systematically evaluates the outcomes of free flap reconstruction for chronic venous ulcers in the lower limb. Read More

Ann Plast Surg 2022 Jun 6. Epub 2022 Jun 6.

From the Department of Orthopedic Surgery, 920th Hospital of Joint Logistics Support Force of People's Liberation Army of China, Kunming, China.

Background: The anterolateral thigh flap is one of the most widely used flaps because it has the advantages of less damage to the donor site, no sacrifice of main blood vessels, and abundant soft tissue. However, the application of anterolateral thigh flap in children is relatively rare because of small blood vessels and rapid physiological changes. The aim of this study was to explore the effectiveness and characteristics of free anterolateral thigh flaps for the reconstruction of extremity soft tissue defects in pediatric patients. Read More

Plast Reconstr Surg Glob Open 2022 May 16;10(5):e4329. Epub 2022 May 16.

Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.

Several reconstructive approaches have been described for reconstruction after sacral chordomas, classically myocutaneous flaps. Recently, postural muscle preservation techniques are preferred whenever possible. We present the case of a 70-year-old man who underwent en-bloc resection of a sacral chordoma resulting in a large three-dimensional defect. Read More

J Clin Med 2022 May 31;11(11). Epub 2022 May 31.

E.N.T. Department General Hospital of Thessaloniki "G. Papanikolaou", Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

The supraclavicular artery island flap (SCAIF) is a reliable, easy-to-harvest and versatile fasciocutaneous flap that can be used for pharynx reconstruction. Instead of free flaps, it requires no microsurgical technique, reduced operating time and postoperative care, making it an ideal option, especially during the COVID-19 pandemic. The primary aim of our study was to present two cases of a total laryngectomy and reconstruction with the SCAIF during the pandemic. Read More

J Plast Reconstr Aesthet Surg 2022 Apr 25. Epub 2022 Apr 25.

Department of Hand- and Plastic Surgery, Lucerne Cantonal Hospital, Lucerne, Switzerland.

Background: Martin and his colleagues in 1989 described for the first time a fasciocutaneous flap based on a posterior branch of the anterior interosseous artery (AIA). Despite its promising characteristics, this flap never achieved popularity and the literature about it is limited. The aim of the present study is to share our experience with the AIA flap both as a local and free flap in reconstructing defects of various body regions. Read More

Acta Chir Belg 2022 Jun 2:1-6. Epub 2022 Jun 2.

GZA Ziekenhuizen, Antwerp, Belgium.

Background: The keystone perforator-based fasciocutaneous island flap is a method of locoregional skin defect reconstruction, consisting of two conjoined V to Y advancement flaps. In this article, we report a series of 30 consecutive cases in various body parts with the aim to demonstrate the versatility of the keystone flap in the reconstruction of various skin defects after removal of a suspected malignant skin lesion and evaluate our clinical experience while maintaining oncological safety and good aesthetic results.

Methods: Patients who underwent keystone flap reconstruction between January 2016 and January 2021 were retrospectively reviewed. Read More

Microsurgery 2022 May 25. Epub 2022 May 25.

Division of Plastic Surgery, Department of Surgery, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, Wisconsin, USA.

Background: Microsurgical free tissue transfer (FTT) is a widely employed surgical modality utilized for reconstruction of a broad range of defects, including head and neck, extremity, and breast. Flap survival is reported to be 90%-95%. When FTT fails, salvage procedures aim at establishing reperfusion while limiting ischemia time-with salvage rates between 22% and 67%. Read More

Am Surg 2022 May 17:31348221075731. Epub 2022 May 17.

Surgery Group Los Angeles, Los Angeles, CA, USA.

Purpose: Flap procedures following pilonidal excision have high recurrence and dehiscence rates. We present a cosmetic, outpatient technique to reconstruction via bilateral gluteal fasciocutaneous advancement flaps with and without tie-over sutures.

Methods: This is a prospective case series of 51 patients (40 males and 11 females). Read More

J Orthop Surg Res 2022 May 12;17(1):262. Epub 2022 May 12.

Department of Orthopedics, The First Affiliated Hospital of Anhui Medical University, No. 218, Jixi Road, Hefei, 230022, Anhui, China.

Background: Complex lower limb reconstruction due to severe trauma remains a challenge for reconstructive surgeons. Here, we introduce a modified donor blood flow-preserved cross-leg anterolateral thigh flap procedure and evaluate its clinical efficacy.

Methods: Between January 2013 and December 2019, 22 patients (range 10 to 64 years old) with unilateral lower limb injury underwent modified donor blood flow-preserved cross-leg anterolateral thigh flap procedures. Read More

Acta Biomed 2022 05 11;93(2):e2022048. Epub 2022 May 11.

Department of Plastic and Reconstructive Surgery of Seoul National University Bundang Hospital, Republic of Korea.

Background: The goals of heel reconstruction are functional and aesthetic. Primarily due to the particular function of the heel in supporting the entire weight of the body while standing, these goals can be achieved by providing the heel with a durable and weight-bearing surface with adequate contour. Various methods such as skin graft, fasciocutaneous, and musculocutaneous local flaps have been reported for reconstructing this area. Read More

Cureus 2022 Apr 27;14(4):e24536. Epub 2022 Apr 27.

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, USA.

Bronchopleural fistula (BPF) following lung resection and thoracic surgery is associated with high rates of morbidity and mortality. Various methods are available for the closure of BPF and thoracic dead space, including flap procedures and thoracoplasty. While delayed random flaps have been used for the treatment of BPF and closure of thoracic dead space, no previous reports have described the concurrent use of laser-assisted indocyanine green angiography (ICG-A). Read More

Ann Plast Surg 2022 06 4;88(6):e20-e32. Epub 2022 Apr 4.

Department of Plastic Surgery, University of Tennessee Health Science Center (UTHSC), Memphis, TN.

Abstract: The supraclavicular artery flap (SCF) is a highly vascularized fasciocutaneous flap overlying the shoulder. The flap was first described in 1979 by Lamberty but did not gain popularity until much later due to lack of a reliable technique. The main advantages of using the SCF include avoiding microsurgical techniques, requiring only a single-stage operation, shorter operative time compared with alternative options, and a wider patient population including those with comorbidities who may be excluded from more extensive operations including free flaps surgeries. Read More

Ann Plast Surg 2022 06 3;88(6):647-657. Epub 2022 Apr 3.

From the Department of Plastic and Reconstructive Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Abstract: Soft tissue defects with exposed tendon, bones, and joints around the knee are difficult and challenging to treat because of its location over a joint, requires a stable cover that is supple and stretchable. For any knee defects, the gastrocnemius muscle flap is the first choice for the reconstruction, although it causes less functional deficit; however, because of its less reach, it is difficult to cover the defect in the superolateral aspect of knee joint and anterior to the tibial tuberosity with the other disadvantage being the bulkiness. The medial sural artery perforator flap (MSAPF) provides thin fasciocutaneous tissue similar to the adjacent normal soft tissue in the knee and so, its use leads to an improved reconstruction of contour and eliminating the need of a skin graft over the primary defect. Read More

Int J Surg Case Rep 2022 Apr 1;93:107010. Epub 2022 Apr 1.

Department of Surgery, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA; Division of Surgical Oncology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA; The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA.

Introduction And Importance: Large chest wall defects in the context of breast cancer or its sequelae can be challenging to address. Oncoplastic techniques have been demonstrated to be safe and feasible options for immediate reconstruction. We describe the use of dual fasciocutaneous flaps for coverage following resection of a large chest wall mass in an area with a remote history of radiation therapy. Read More

Clin Case Rep 2022 Apr 18;10(4):e05747. Epub 2022 Apr 18.

Surgery Department Kamenge Teaching Hospital University of Burundi Bujumbura Burundi.

Fournier's gangrene, a rapidly progressive necrotizing fasciitis of the perineum and external genitalia that leads to extensive soft tissue necrosis, remains a medical-surgical emergency. The authors present a case of coverage of a scrotal loss of substance with testicular exposure by a medial fasciocutaneous flap of the unilateral thigh after debridement and initial medical treatment of Fournier's gangrene in a 50-year-old quadriplegic patient. The clinical examination at 8 months showed an aesthetic and functional result. Read More

Acta Chir Plast 2022 ;64(1):6-11

Background: The anterolateral thigh (ALT) flap was described as the fasciocutaneous flap. It can be harvested as a pedicled and/or free flap. Majority of the free flaps are harvested as a fasciocutaneous flap. Read More

J Plast Reconstr Aesthet Surg 2022 Mar 8. Epub 2022 Mar 8.

Section of Plastic and Reconstructive Surgery, Department of General Surgery, Kepler University Hospital, Krankenhausstrasse 9, 4020 Linz, Austria; Johannes Kepler University Linz, Medical Faculty, Altenbergerstr. 69, 4040 Linz, Austria. Electronic address:

Background: The wide range of reconstructive purposes requires specific demands and considerations for appropriate flap selection. One versatile and reliable option, which is rarely reported in current literature, is the fasciocutaneous infragluteal (FCI) flap. In this study, we present our results of performing the FCI flap for different clinical indications. Read More

Burns 2022 Mar 17. Epub 2022 Mar 17.

Institute of Clinical Medicine named after N.V. Sklifosovsky, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia. Electronic address:

Background: Frostbite is a severe thermal injury, which characterized by tissue necrosis with a high percentage of amputations, disability of patients.

Methods: According to the databases Web of Science, Google Scholar, PubMed, E-library down to 2001-2021 the search for works related to the problem of diagnosis, treatment of frostbite of the upper extremities was made. Actual possibilities of diagnostics, the questions of classification, treatment of frostbite, including the features of plastic surgery operations used to close hand defects after excision of necrotic tissues have been analyzed. Read More

J Plast Reconstr Aesthet Surg 2022 Feb 26. Epub 2022 Feb 26.

Department of Plastic Surgery, Christian Medical College, Vellore, India. Electronic address:

Introduction: Complex cubital fossa injuries with bony and vascular injuries are not an uncommon clinical presentation after trauma to the elbow. The revascularization of the upper limb by brachial artery repair with the venous graft is paramount, followed by immediate cover with a sturdy flap to salvage the limb. The use of local muscle and fasciocutaneous flaps is limited in the setting of vascular injury. Read More

Knee Surg Relat Res 2022 Mar 26;34(1):15. Epub 2022 Mar 26.

Division of Orthopaedic Trauma and Adult Reconstruction, Department of Orthopaedic Surgery, Jersey City Medical Center - RWJ Barnabas Health, 355 Grand Street, Jersey City, NJ, 07302, USA.

Background: Flap reconstruction with perforator, fasciocutaneous, muscular, and/or free microvascular flaps is utilized to cover wound defects and improve vascularization and antibiotic/nutrient delivery. Flap use in revision procedures for total knee arthroplasty has been explored previously; however, current data are limited and studies comparing healing and complication rates between different flap types are lacking.

Methods: A literature review was performed using PubMed on 13 January 2022. Read More

J Clin Med 2022 Mar 11;11(6). Epub 2022 Mar 11.

Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, University of Geneva, 1205 Geneva, Switzerland.

(1) Background: Lower extremity microvascular reconstruction aims at restoring function and preventing infection while ensuring optimal cosmetic outcomes. Muscle (M) or fasciocutaneous (FC) free flaps are alternatively used to treat similar conditions. However, it is unclear whether one option might be considered superior in terms of clinical outcomes. Read More

Microsurgery 2022 May 17;42(4):333-340. Epub 2022 Mar 17.

Department of Plastic & Reconstructive Surgery, Monash Health, Clayton, Victoria, Australia.

Background: The radial forearm fasciocutaneous flap (RFFF) is a workhorse flap, however concerns with donor site morbidity include tendon exposure, delayed wound healing, impaired sensitivity, and poor cosmesis, have seen it fall out of favor. We present a method of using an arterialised saphenous flow through flap to reconstruct the RFFF donor site.

Method: A cohort study of six patients (five male, one female; mean age 59 [range 19-90]) who had their RFFF donor site reconstructed with an arterialised saphenous flow through flap is presented. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Mar;36(3):322-328

Scar Comprehensive Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100144, P. R. China.

Objective: To explore the reliability and effectiveness of prediction of the pedicle length of the proximally-based anterolateral thigh (pALT) flap which was used to repair the defects following the resection of various malignant tumors using computed tomographic angiography (CTA).

Methods: The clinical data of 12 patients who met the selection criteria by using pALT flap to repair wounds left after malignant tumor resection between June 2015 and December 2020 were retrospectively analyzed. There were 5 males and 7 females; the age ranged from 16 to 80 years, with an average age of 54. Read More

Handchir Mikrochir Plast Chir 2022 Apr 14;54(2):139-148. Epub 2022 Mar 14.

BG Unfallklinik Ludwigshafen Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universität Heidelberg.

Introduction: Besides fasciocutaneous workhorse flaps, free muscle flaps for the reconstruction of large soft tissue defects are well-established standard microsurgical procedures. Random-pattern adipocutaneous skin paddles are often included for postoperative perfusion monitoring of the muscle flap. At our institution, both conventional broad-based and perforator-based adipocutaneous skin paddles are used. Read More

J Chin Med Assoc 2022 03;85(3):341-345

Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Background: To present the complications of free-flap phalloplasty in three-staged female-to-male transgender surgery.

Methods: This retrospective study included patients who underwent a three-staged free-flap phalloplasty for female-to-male transgender surgery between January 1988 and December 2013. Data regarding demographics, operative techniques, and complications were collected and analyzed. Read More

Polymers (Basel) 2022 Feb 14;14(4). Epub 2022 Feb 14.

Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympicro 43 gil, Songpa-gu, Seoul 05505, Korea.

(1) Background: In the present study, we evaluated the efficacy of a 3D-printed, patient-specific polycaprolactone/beta tricalcium phosphate (PCL/β-TCP) scaffold in the treatment of complex zygomatico-maxillary defects. (2) Methods: We evaluated eight patients who underwent immediate or delayed maxillary reconstruction with patient-specific PCL implants between December 2019 and June 2021. The efficacy of these techniques was assessed using the volume and density analysis of computed tomography data obtained before surgery and six months after surgery. Read More

J Pers Med 2022 Feb 8;12(2). Epub 2022 Feb 8.

Laboratory for Tissue Engineering and Regenerative Medicine, Department of Plastic and Hand Surgery, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nuremberg FAU, 91054 Erlangen, Germany.

Background: Assessment of tissue perfusion after irradiation of random pattern flaps still remains a challenge.

Methods: Twenty-five rats received harvesting of bilateral random pattern fasciocutaneous flaps. Group 1 served as nonirradiated control group. Read More

Ann Plast Surg 2022 06 21;88(6):658-664. Epub 2022 Feb 21.

From the Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.

Background: Acral lentiginous melanoma (ALM) is a rare subtype of malignant melanoma that usually involves the weight-bearing plantar area. Plantar defect reconstruction has traditionally been performed with skin grafts or free flaps. This study examined the efficacy and safety of a medial plantar artery perforator flap (MPAPF) for plantar defect reconstruction after wide excision of an ALM. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Feb;36(2):231-235

Department of Pediatric Surgery at Children's Medical Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu Sichuan, 610072, P. R. China.

Objective: To document the effect of surgical steps, including penile degloving, plate transection, dorsal plication, and fasciocutaneous coverage, in primary hypospadias repair on penile length.

Methods: A consecutive series of 209 prepubertal boys with primary hypospadias repair was included with the age ranged from 10 to 97 months (mean, 31.7 months). Read More