Curative effect of pedicled retrograde posterior leg myocutaneous flap in patients with ankle soft tissue defect and its influence on sensory function
10.3969/j.issn.1006-5725.2023.21.021
- VernacularTitle:踝部软组织缺损患者带蒂逆行小腿后侧肌皮瓣修复的疗效及对感觉功能的影响
- Author:
Yuguo XIE
1
;
Zhiling FAN
;
Quanbao GUO
;
Qinghu ZENG
Author Information
1. 海军陆战队医院烧伤整形外科(广东潮州 521000)
- Keywords:
ankle soft tissue defect;
pedicled retrograde posterior leg myocutaneous flap repair;
ob-servation of curative effect;
sensory function
- From:
The Journal of Practical Medicine
2023;39(21):2817-2821
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the curative effect of pedicled retrograde posterior leg myocutaneous flap in patients with ankle soft tissue defect,and analyze its related factors on patients'sensory function.Methods The data of 120 patients with ankle soft tissue defect who were treated in our hospital from January 2015 to January 2022 and followed up for one year after operation were selected.Among them,60 cases were repaired with pedicled posterior leg myocutaneous flap(group A),40 were repaired with medial foot flap(group B)and 40 were repaired with ankle epithelial flap(group C).The healing(flap survival,infection,appearance,texture),sensory function,appearance satisfaction,Baird-Jackson score and complications of patients with ankle soft tissue defect in each group were compared.Results There was no difference in baseline data among the groups(P>0.05).Patients with ankle soft tissue defect in each group were observed for one year after flap repair.The survival rate of flap in group A was higher than that in group B and C,and the difference was statistically significant(P<0.05).There was no significant difference in infection,appearance,texture and walking function among the groups(P>0.05).After flap repair,the sensory function score of group A was better than that of group B and C,and the difference was statistically significant(P<0.05).The appearance satisfaction of group A was higher than that of group B and C,showing statistical significance(P<0.05).There was no difference in complications after flap repair in each group(P>0.05).Conclusion Skin flap should be chosen according to the area,shape and characteristics of the skin flap for patients with ankle soft tissue defect,and pedicled retrograde posterior leg myocutaneous flap has better curative effect,higher survival rate and higher excellent and good rate of ankle function.It is more helpful for limb function recovery of patients with ankle soft tissue defect.
