Application of combined saphenous nerve-great saphenous vein flap and cutaneous branches of posterior tibial artery flap in repair of chronic ulcer in foot
10.3760/cma.j.issn.1671-0290.2011.04.005
- VernacularTitle:隐神经-大隐静脉营养血管与胫后动脉皮支蒂联合皮瓣修复足部慢性溃疡创面
- Author:
Yongxin HUANG
;
Xinhua ZHAN
;
Jianxian ZHU
;
Jianchong CHEN
;
Zuhuang WU
;
Jinglong CAI
- Publication Type:Journal Article
- Keywords:
Flap of combined saphenous nerve-great saphenous vein;
Cutaneous branches flap of posterior tibial artery flap;
Combined flap;
Ucer of foot;
Vacuum sealing drainage
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2011;17(4):254-256
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of the combined saphenous nerve-great saphenous vein flap and cutaneous branches of posterior tibial artery flap in repairing refractory wounds. Methods Eighteen cases of pedal chronic ulcers were treated with the combinedsaphenous nervegreat Saphenous vein flap and cutaneous branches of posterior tibial artery flap, in which the wounds were treated with vacuum suction techniques before the operation in 6 cases. Wounds were from 8 cm× 13 cm to 1 cm× 17 cm in zine after debricement, and the designed size of the flaps was from 8 cm× 14 cm to 11 cm× 18 cm. Results After the treatment, 18 cases were evaluated as excellent in 10 cases, and good in 8 cases, in which the primary sealing of the wounds was achieved in 17 cases, but one case presented with focal necrosis of smaal size owing to vein drainage disturbance in a distallypedicled flap, and was healed after flap transplantation. Follow-up for 6 months to 2 years showed that all the patients were satisfied with the results. Conclusions The combined flap has reliable blood supply, skin pedicle of the flap is longer, superior texture and satisfied appearance, and incisive area of the flap is larger. It is particularly useful in repairing refractory wound in foot.
