Clinical effects of anterograde sural neurovascular flap in repairing skin and soft tissue defect around the knee
10.3760/cma.j.cn501120-20200108-00012
- VernacularTitle:顺行腓肠神经营养血管皮瓣修复膝周皮肤软组织缺损的临床效果
- Author:
Haitao ZHU
1
;
Yujue CAO
;
Haixia TU
;
Bin YU
;
Jiulong JIANG
;
Fan CHEN
Author Information
1. 北京丰台右安门医院烧伤整形科 100069
- Keywords:
Surgical flaps;
Wound healing;
Knee;
Sural neurovascular flap;
Skin and soft tissue defects
- From:
Chinese Journal of Burns
2021;37(2):187-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effects of anterograde sural neurovascular flap in repairing skin and soft tissue defect around the knee.Methods:Nine patients with skin and soft tissue defect around the knee admitted to Beijing Fengtai YouAnMen Hospital from May 2011 to December 2018, were included in this retrospective descriptive study, including 8 males and 1 female, aged 16 to 65 years. The wound area after debridement ranged from 8 cm×5 cm to 18 cm×10 cm. Anterograde sural neurovascular flap was used to repair the wounds in 9 patients, with the area ranging from 9 cm×6 cm to 20 cm×12 cm. The donor sits of flaps in 2 patients were closed and sutured directly, and the donor sits of flaps in 7 patients were repaired with medial split-thickness skin graft of the ipsilateral thigh. The flap survival, complications, and follow-up after operation were recorded.Results:The flaps survived and the blood supply was good in 8 patients and the wounds were closed. One patient developed skin ischemic necrosis which was cured after three weeks of dressing change. All the skin grafts in the donor site of flap in 7 patients survived. In 6 months to 5 years of follow-up after surgery, the skin flap had good texture, color, and shape, and normal sensation. Except for one patient whose knee had poor recovery of function, the knee joint function of the other patients recovered well.Conclusions:The anterograde sural neurovascular flap has the advantages of high survival rate, satisfactory appearance and functional recovery post surgery, and is an ideal flap for repairing the skin and soft tissue defect around the knee.
