J Reconstr Microsurg 2009; 25(6): 361-367
DOI: 10.1055/s-0029-1215543
© Thieme Medical Publishers

An Overview of Skin Flap Surgery in the Mainland China: 20 Years' Achievements (1981 to 2000)

Shi-Min Chang1 , Chun-Lin Hou2 , Da-Chuan Xu3
  • 1Department of Orthopedic Surgery, Tongji University Tongji Hospital, Shanghai
  • 2Department of Orthopedic Surgery, Changzheng Hospital, Shanghai
  • 3Institute of Clinical Anatomy, Nanfang Medical University, Guangzhou, People's Republic of China
Further Information

Publication History

Publication Date:
13 March 2009 (online)


Microsurgical anatomy and clinical applications have been widely and extensively practiced throughout the mainland of China since late 1970s. During the 1980s to 1990s, Chinese surgeons and anatomists developed many new flap donor sites and modifications, most of which were published in Chinese literature. These achievements were not fully realized by the Western surgeons. In this overview, we attempt to give a brief introduction of these contributions made by the Chinese authors in the mainland. Of the new flaps first or independently described by the Chinese, most were in the limbs. These flaps can be classified into three categories. First are free flaps with a main artery trunk, such as the radial forearm flap with radial artery, the medial leg flap with posterior tibial artery, and lateral leg flap with peroneal artery. Second are reverse-flow island flaps based on distal main vascular bundles (e.g., the radial artery and venae comitantes, the ulnar, the posterior tibial, and the peroneal arteries). Third are septocutaneous perforator flaps that avoid sacrifice of the main artery trunk, which include the anterolateral thigh flap, lateral lower-leg flap, dorsoulnar flap, distally adipofascial pedicled radial forearm flap, and so on.


Shi-Min Chang, M.D. , Ph.D. 

Department of Orthopedic Surgery, Tongji Hospital, Tongji University

389 Xincun Road, Shanghai 200065, People's Republic of China

Email: shiminchang@yahoo.com.cn