Some controversial issues in wound repair with perforator flaps / 中华创伤杂志

ABSTRACT

The wound may usually lead to exposure of deep tissue and result in persistent infection and dysfunction. The perforator flap is one of the most important methods for wound repair due to the minimum morbidity of donor site and good aesthetic contour，with extensive clinical application. However，there are still some controversies regarding the clinical application of the perforator flap，such as whether the perforator flap should be pedicled transplantation or free transplantation for repairing wounds on the back of the foot，how to harvest a larger perforator flap for pedicled transplantation，how to choose perforator vessels for pedicled transplantation，and how to reconstruct the sensory function of the skin flap. In this study，the authors summarize the above problems and propose application suggestions.