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KMID : 1143020230280030188
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Archives of Hand and Microsurgery
2023 Volume.28 No. 3 p.188 ~ p.193
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The outcomes of peroneal artery perforator-based propeller flaps for the treatment of infected lateral malleolar bursitis
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Lee Tae-Gyu
Kim Jun-Hyung
Jeong Woon-Hyeok
Jo Tae-Hee
Park Sang-Woo
Choi Jae-Hoon
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Abstract
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Purpose: Infected malleolar bursitis sometimes requires multiple debridements, followed by soft tissue reconstruction with a flap. The purpose of this study was to evaluate the clinical outcomes of patients with infected lateral malleolar bursitis who were treated using peroneal artery perforator-based propeller flaps.
Methods: We retrospectively included 10 patients who underwent reconstruction of the lateral malleolus with a peroneal artery perforator-based propeller flap due to infected lateral malleolar bursitis between 2014 and 2022.
Results: The average follow-up time was 77.2 weeks. Six patients experienced complete healing; three developed partial flap necrosis, and one had a long-lasting seroma. All patients with complications had long-term diabetes.
Conclusion: Partial flap necrosis in patients with diabetes may occur because of impaired microcirculation. A peroneal artery perforator-based propeller flap could be useful for soft tissue reconstruction in select patients without diabetes or in patients with diabetes who have infected lateral malleolar bursitis.
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KEYWORD
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Bursitis, Perforator flap, Diabetes mellitus, Microcirculation
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