CC-BY-NC-ND 4.0 · J Reconstr Microsurg Open 2017; 02(02): e136-e139
DOI: 10.1055/s-0037-1608670
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Free Peroneal Artery Perforator-Based Flap for Soft Tissue Reconstruction of the Finger

Kenji Kawamura1, Hiroshi Yajima1, Shohei Omokawa1, Takamasa Shimizu1, Satoshi Hayashi1, Naoki Maegawa1, Yasuaki Nakanishi1, Tsutomu Kira1, Tadanobu Onishi1, Naoki Hayami1, Hideo Hasegawa1, Yasuhito Tanaka1
  • 1Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan
Further Information

Publication History

21 September 2017

28 September 2017

Publication Date:
24 November 2017 (online)


Background The peroneal artery perforator-based flap has been widely used as a pedicled propeller flap for soft tissue reconstruction in the lower extremity; however, its application as a free flap has been rarely reported. We report on the utility of the free peroneal artery perforator-based flap for finger soft tissue reconstruction.

Methods Twelve patients underwent reconstructions of soft tissue defects of the finger with free peroneal artery perforator-based flaps. The soft tissue defects were located either dorsally and/or laterally on the fingers. The size of the flaps ranged from 5 × 2 to 8 × 3 cm. The length of the vascular pedicles ranged from 4 to 5 cm. The artery and vein of the perforator vessels were anastomosed in the finger to the digital artery and subcutaneous vein, respectively.

Results All twelve flaps survived completely, and the donor site in the lower leg was closed primarily in all cases. Secondary defatting was performed in six cases, while in the remaining cases, thinning of the flap was performed when the flap was transferred.

Conclusion The advantages of the free peroneal artery perforator-based flap for finger soft tissue reconstruction include the following: the flap is flexible and can be thinned to match the texture of the finger; elevation of the flap is easy; the donor site can be closed primarily; there is no need to sacrifice any main arteries in the lower leg; and the diameter of the perforator vessels is suitable for anastomosis to the digital artery and subcutaneous vein in the finger.