الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The peroneal artery perforator flap is a reliable and reproducible Procedure providing low postoperative morbidity, good daily functions, and relatively satisfactory esthetic results, without sacrificing any major vessels or nerves. It is intended to be a suitable alternative for the reconstruction of lower limb defects. Because microvascular anastomosis is not required, the flap is less time consuming and has a lower risk of vascular thrombosis compared with other complex microvascular techniques. Hence, the peroneal artery perforator flap is a reliable option for the treatment of chronic lower extremity wounds.
The present work included 20 cases had defects around lower leg and foot presented to plastic surgery unit, Minia university hospital in period between January to August 2019.
The age was up to 65 years old, all the cases were males, and all the case of the defects was post traumatic.
The protocol of management of the defects around the lower leg and foot in this study includes detection of the arterial perforator by doppler Sonography and colour duplex, wound cleaning and irrigation, skin debridement then harvesting of the flap by an explorative incision made to find a perforator artery with a careful blunt dissection, the flap then designed.
Although local flap technique requires microsurgical dissection, it doesn’t require vascular suturing and can thus be defined as microsurgical non microvascular flap.
According to results 60% of patients had excellent results with complete viable flap, 30% has good results with partial flap loss treated conservatively, and 10% had bad results with complete flap loss treated by coverage of the raw area by STSG after granulation tissue had been formed.