The reverse flow island flap nourished by sural nerve nutrition blood vessel for repair of severe frostbite of feet.
- Author:
Xiang-Jun CHEN
1
;
Ji-Ping XING
;
Xing-Wei YAO
Author Information
- Publication Type:Case Reports
- MeSH: Adult; Female; Foot Injuries; surgery; Frostbite; surgery; Humans; Male; Reconstructive Surgical Procedures; methods; Skin Transplantation; Surgical Flaps; blood supply; innervation; Young Adult
- From: Chinese Journal of Plastic Surgery 2005;21(4):269-271
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVEThe study was to verify the feasibility of an improved method using reverse flow island flap nourished by the sural nerve nutrition vessel to repair severe frostbite of feet.
METHODSAt the proximal end of the principal flap, an auxiliary triangular skin flap of 6.5 - 7 cm in length was designed in order to cover the pedicle of the principal flap. This operation was performed on 13 patients (21 feet) with frostbite.
RESULTSAll the flaps survived well. Postoperative follow-up for 5 - 18 months demonstrated satisfactory results in all the cases. No ulcer happened.
CONCLUSIONSThe method is helpful to prevent constriction of the pedicle and ensure blood supply of the flap. It is an ideal treatment for severe frostbite of feet.
