Repairing soft-tissue defection of ankle and foot by sural neurovascular pedicle fasciocutaneous reversed island flap.
- Author:
Ming-Rui CHEN
1
;
Cun-Fu CHEN
;
Jing-Long CAI
;
Feng-Cai WEI
;
Cheng-Qi WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Ankle Injuries; surgery; Female; Foot Injuries; surgery; Humans; Male; Middle Aged; Skin Transplantation; methods; Soft Tissue Injuries; surgery; Sural Nerve; blood supply; Surgical Flaps; blood supply; Young Adult
- From: Chinese Journal of Plastic Surgery 2005;21(5):356-359
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the clinical application of sural neurovascular pedicle fasciocutaneous reversed island flap to repair soft-tissue defection of the ankle and foot.
METHODSFrom Sep. 1994 to Oct. 2004,29 patients with soft-tissue defects in the ankle and foot were repaired by use of sural neurovascular fasciocutaneous reversed island flap, including 15 cases of traumatic defects, 11 cases of burns and 3 cases of chronic ulcer. The flap area ranged from 5 cm x 7 cm to 12 cm x 20 cm, and the length of pedicle from 5 cm to 12 cm.
RESULTSThe flaps survived totally in 27 cases, the distal necrosed partially and secondary free-skin grafting were further conducted in 2 cases. Twenty-one cases were followed-up for 3 to 60 months,the circulation, color and texture of the flaps were excellent and 2-point discrimination was 10 - 15 mm. The appearance and function of ankle joints were good.
CONCLUSIONThis flap has sufficient blood supply and a high survival rate; It is convenient in design, dissection and without sacrifice of major arteries. So, it is an effective method for the reconstruction of soft-tissue defects in ankle and foot.
