ABSTRACT

Background: In third world countries pediatric trauma has always been a burning issue because of lack of safety protocols in community and poor services for management. Like adult lower limb reconstruction in pediatric popula-tion is also difficult task because of less number of viable reconstructive options.

Methods: We conducted a study at Children’s Hospital Pediatric Plastic Surgery unit to know reliability of posterior tibial artery perforator flap in patient’s visiting emergency unit for lower one third of leg trauma. This study was con-ducted from 1st January 2016 till 31st December 2018.

Results: 11 patients were included having age range from 3 to 16 years. 8 patients were male and 3 female. Out of eleven ten flap survived completely, one patient had partial distal necrosis that was managed conservatively.

Conclusion: Distally based posterior artery perforator flap for lower one third of wound coverage is a versatile and reliable local flap with minimum donor site morbidity.

Keywords: Distal Posterior Tibial Artery Perforator Flap, Pediatric Lower Extremity Wounds, Local Flaps, Perfora-tor Flap.