Reversed sural neurovascular fasciocutaneous flap for reconstruction of soft tissue defects of lower limbs.
- Author:
Zheng-Feng MEI
1
;
Pan-Deng LI
;
Qun-Li DUANMU
;
Wen-Tao LEI
;
Qi-Hui ZHAO
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Female; Follow-Up Studies; Humans; Lower Extremity; blood supply; injuries; surgery; Male; Middle Aged; Reconstructive Surgical Procedures; Soft Tissue Injuries; surgery; Surgical Flaps; blood supply; Treatment Outcome; Young Adult
- From: China Journal of Orthopaedics and Traumatology 2010;23(3):172-174
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the clinical application of the reversed sural neurovascular fasciocutaneous flap.
METHODSFrom January 2007 to May 2009,10 patients (6 males and 4 females) with soft tissue defects on lower limbs were treated by reversed sural neurovascular fasciocutaneous flap. The end-to-side neuroanastomosis were used to reinnervate the flap and microsurgery was used for anastomosing small saphenous vein. The age ranged from 16 to 55 years (mean, 32 years). There were 6 patient with soft tissue defects on foot, 2 patients with exposed bone after operation, 2 patients with chronic ulcer on limb. The patients were evaluated with appearance, blood supply, texture and 2-PD of the flaps.
RESULTSAll the patients were followed for 6 to 24 months (mean, 15 months). The flaps in all 10 patients survived completely. The appearance, blood supply and texture of the flaps were excellent and 2-PD was 9 to 12 mm.
CONCLUSIONThis flap has sufficient blood supply and high survival rate. It also effectively retains the feeling of dorsolateral heeland improved quality of life.
