Figure Legends:
Figure 1: The patient whose defect was repaired with PAP based rotation
flap
- Posterior view of skin-soft tissue defect.
- Digitally substracted view of superselective angiography of PAP. The
flap was designed according to the suitable perforator located nearest
to the defect.
- The designed PAP based rotation flap
- Two years follow-up
PAP: Peroneal artery perforator
Figure 2: Shallow Achilles overlying skin reconstruction with PTA based
hatchet flap
- Acute defect of the skin overlying the Achilles tendon
- Harvested medially based hatched fasciocutaneous flap (yellow spots
show probable location of PTA perforators)
- Two years follow-up
PTA: posterior tibial artery
Figure 3: Traumatic Achilles region defect reconstructed with free MSAP
flap
- Unhealed Achilles overlying skin defect
- The harvested MSAP flap
- Two months follow-up
MSAP: medial sural artery perforator
Figure 4: Achilles overlying skin defect reconstruction with free SCIP
flap
Exposed Achilles tendon
Advanced and re-sutured SCIP flap
SCIP: superficial circumflex iliac artery perforator
Figure 5: The patient whose composite Achilles region defect were
repaired with flow-through ALT-TFL chimeric flap and sural nerve graft.
- Medial view of perforated and burnt lower extremity due to hot metal
injury
- Peroperative view of the posterior tibial neurovascular defect
- Inset of flow-through ALT-TFL chimeric flap. Note that the TFL mimics
Achilles tendon, the vascular pedicle mimics the posterior tibial
artery and vein, and the sural nerve graft mimics the posterior tibial
nerve
- Two years follow-up
PSPTN: Proximal stump of posterior tibial nerve; PVS: proximal vascular
stump; DSPTN: distal stump of posteriot tibial nerve; DVS: distal
vascular stump; ALT: anterolateral thigh; TFL: tensor fascia lata; LCFA:
lateral Circumflex Femoral Artery; FTP: flow-through pedicle, NG: nerve
graft