Transplantation of free fibula composite tissue flap to repair the first metatarsal bone with soft tissue defect on foot
10.3760/cma.j.issn.1001-2036.2016.01.010
- VernacularTitle:游离腓骨复合组织瓣移植修复足第一跖骨与软组织缺损
- Author:
Rui HU
;
Yijun REN
;
Li YAN
;
Fan DING
;
Xincheng YI
;
Qiong HAN
;
Wusheng KAN
- Publication Type:Journal Article
- Keywords:
Foot;
Fibula flap;
Graft;
First metatarsal bone;
Microsurgery
- From:
Chinese Journal of Microsurgery
2016;39(1):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of the free fibula composite tissue flap transplantation to repair the first metatarsal bone with soft tissue defect on foot.Methods From August, 2008 to August, 2013, 6 patients with the first metatarsal bone and soft tissue defect on foot were treated with transplantation of free fibula composite tissue flap.The causes: 2 cases in traffic accident injury, 4 cases in machine injury;3 cases with traumatic defect, and septic defect in 3 patients.Of the 6 cases, the fibular length with transplantation was 6 cm to 12 cm, and the flap area was 8 cm × 5 cm-18 cm × 16 cm;All the cases were followed-up in 3, 6, 12 months postoperatively to observe the fracture healing, and to assess injured limb function in 1 year postoperatively.Results All cases were followed up 12-24 months, and average of 14 months;All the flaps survived, and the metatarsal bone and fibula healing was good visibly in half a year, The surgery function were assessed according to Maryland's scale, and the excellent were 2 and the good were 4.Conclusion The transplantation of free fibula composite tissue flap to repair the first metatarsal bone with soft tissue defect on foot is a safe and effective strategy, and it has the advantages such as covering the wound at foot approvingly, one-time rebuild repair foot weight bearing area and the surrounding soft tissue defect, shorten the treatment cycle, for small area damage in donor area, and the function postoperative is good, etc.
