内側腓腹動脈を用いた筋弁，皮弁，筋皮弁による軟部組織再建の7例とその応用

抄録

　We investigated soft tissue reconstruction cases treated with muscular, perforator, and myocutaneous flaps using the medial sural arteries. Seven cases of soft tissue reconstruction treated with muscular (n=3) , perforator, (n=2) and myocutaneous (n=2) flaps were performed at our institution between 2012 and 2024. All flaps survived, and no postoperative infections occurred. Skin grafts were required in all muscular flap cases and in the donor site of the perforator flap, which was harvested 6 cm wide; however, no skin grafts were required in the myocutaneous flap cases. Pedicled and free medial sural artery perforator flaps are both effective reconstruction methods. Myocutaneous flaps are useful because they can expand the coverage area while retaining the characteristics of the muscular flap and do not require skin grafts.