New Design and Identification of the Medial Sural Perforator Flap: An Anatomical Study and Its Clinical Applications

Abstract

Until now, it has been a general belief that the exact location of a perforator cannot be predicted. The authors, however, have found that the first perforator was located almost 8 cm from the midpoint of the popliteal crease within the distal half circle drawn with a radius of 2 cm. Because this study made it possible to prepare a diagram of the exact location of the medial sural perforators, it is expected that more professionals will use this method for hand and facial reconstructions in the future.