Repairing of the deep burn wounds of the lower extremities with sural nerve nutrition blood vessel island flap

VernacularTitle:腓肠神经营养血管蒂岛状皮瓣修复下肢深度烧伤创面
Author: Chunbing YANG ; Guifang YOU ; Wei MO
Publication Type:Journal Article
Keywords: Surgical flaps; Sural nerve; Burns; Lower extremity
From: Chinese Journal of Primary Medicine and Pharmacy 2011;18(z2):18-20
CountryChina
Language:Chinese
Abstract: ObjectiveTo explore the clinical role of island flap nourished by sural nerve nutrition blood vessel for repairing of the deep burn wounds of the lower extremities.MethodsIsland flap nourished by sural nerve nutrition blood vessel were performed to repair the deep burn wounds of the lower extremities below the knee in 22 cases,aged 10 ～58 years old,average aged 34 years old,including flame burns in 6 cases,electrical burns in 10 cases,chemical burns in 4 cases,scalding hot water in 2 cases.All were deep skin damage,The island flaps,including anterograde and retrograde flaps,was from 5cm ×4cm to 13cm × 10cm in size,The defect at the donor site was sutured primarily or repaired by a skin graft.ResultsAll the flaps survived well,18 patients were follow-up postoperatively for 4 ～24 months.The color,texture,shape of the flaps were satisfactory,but the sensory recovery was unsatisfactory.ConclusionSural neurovascular flap had a constant anatomy and reliable blood supply without the sacrificeof the major blood vessels.The procedure was simple and easy,and an effective method of repairing the skin and soft tissue defects below the knee.