台灣外科醫學會雜誌

中文 | ENG

	第57卷第6期 2024-11 Emerging robot-guided techniques in endodontic microsurgery
.........................
	第57卷第6期 2024-11 Management of subcapsular hematoma after living donor liver transplant
.........................
	第57卷第6期 2024-11 Urethral pseudodiverticulum with left-sided nonfunctioning kidney: Case report
.........................
	第57卷第6期 2024-11 Strategy to minimize surgical defect of dermatofi brosarcoma protuberans
.........................
	第57卷第6期 2024-11 Rapunzel syndrome—An uncommon disease with varied common presentations
.........................
	第57卷第6期 2024-11 Minimally invasive approaches to management of acute necrotizing pancreatitis
.........................
	第57卷第6期 2024-11 Innovative surgical technique: Addressing ethical concerns
.........................
	第57卷第6期 2024-11 Emergency surgery and HIV screening, clinical or universal scenarios?
.........................
	第57卷第6期 2024-11 High mortality rates associated with parainfl uenza virus, not metapneumovirus, infections in lung transplant recipients: A retrospective observation
.........................
	第57卷第6期 2024-11 Predatory clinical surgery journal, rescinding the decision to accept submitted article and unjustifi ed rejection and unprofessional conduct
.........................
	第57卷第6期 2024-11 Sacrifi cial of unilateral vertebral artery for fragment removal following vertebral artery injury by air rif le pellet gunshot: A case report
.........................
	第57卷第6期 2024-11 Evaluation of three-dimensional reconstruction technology in precision hepatectomy for primary liver cancer
.........................
	第57卷第6期 2024-11 Exploring the seasonal variation of anorectal disease: A comprehensive study
.........................
	第57卷第6期 2024-11 Efficacy of the minimal-invasive vacuum-assisted biopsy under direct visualization with ultrasound for impalpable breast lesions in Taiwanese female: A retrospective case-control study
.........................
	第57卷第6期 2024-11 Computed tomography on the 5th postoperative day helps distinguish grade C from grade B pancreatic fi stula after pancreaticoduodenectomy for periampullary cancer
.........................
	第57卷第6期 2024-11 Pressurized intraperitoneal aerosol chemotherapy (PIPAC): Why it will transform cancer surgery
.........................
	第57卷第5期 2024-9 Evaluating the pros and cons of anonymous commenting on PubPeer
.........................
	第57卷第5期 2024-9 Infected urachal cyst with urethral stricture disease presenting with intraperitoneal perforation of cyst and pyoperitoneum
.........................
	第57卷第5期 2024-9 COVID-19 vaccination and acute cholecystitis: A rare but important clinical problem
.........................
	第57卷第5期 2024-9 Hobnail-shaped primary prostatic urethral calculus due to urethral stricture disease
.........................

登入帳號才能閱讀全文

篇名	Propeller posterior tibial artery perforator  ap for reconstruction of the medial malleolar defect: A case report
作者	Liang-Jui Chiang, Shyh-Jou Shieh
卷期/出版年月	56卷5期 (2023/9)
頁次	153-155
摘要	Traumatic injury to the distal third of the lower leg remains challenging and often requires free tissue transfer. Reconstructive options for lower leg soft-tissue defects require comprehensive evaluation. A 20-year-old man presented with a medial malleolar soft-tissue defect with exposure of the great saphenous vein, distal tibia, and ankle joint after a traffic accident. Negative pressure wound therapy provided only partial coverage of the exposed tissue. The defect was reconstructed using a local fasciocutaneous propeller flap based on a septocutaneous perforator fromthe posterior tibial artery. At 1-year follow-up, the patient resumed normal daily activitieswithout functional deficits.We reviewthe options of reconstructing the distal third of the lower leg and surgical pearls of propeller flaps. Propeller flaps provide adequate tissue-like and pliable soft tissue coverage with a short operation time. It can be a useful technique for the reconstruction of distal third lower-leg defects.
關鍵詞	Trauma; Medial malleolus; Propeller flap
分類	Case Report