The anterior medial incision poor healing after Pilon fracture treated by tibial artery perforator flap
10.3760/cma.j.issn.1001-2036.2016.05.006
- VernacularTitle:胫后动脉穿支皮瓣治疗Pilon骨折术后前内侧切口愈合不良
- Author:
Bingyuan LIN
;
Kai HUANG
;
Qiaofeng GUO
;
Chun ZHANG
;
Yiyang LIU
;
Lifeng SHEN
;
Gouping MA
- Publication Type:Journal Article
- Keywords:
Pilon fracture;
Posterior tibial artery;
Perforator flap;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2016;39(5):437-439
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficiency of applying tibial artery perforator flap to treat anterior medial incision poor healing one-stage after Pilon fracture.Methods From June,2012 to August,2015,13 cases of anterior medial incision poor healing after Pilon fracture,with tendon or plate exposure in patients and without acute infection,treated by tibial artery perforator flap to repair wound one-stage after thorough debridement.Results All the wounds were repaired by tibial artery perforator flap after a thorough debridement.There was flap necrosis in distal 1/3 part of flap in 1 case,which gained healing after debridement and skingrafting.The remaining 12 cases of flaps survived well.All patients were followed up for 5-14 months (mean 9.8 months),the flaps or skin grafts survived well,without tissue infection,osteomyelitis and other complication,and the functional recovery of the ankle was basically normal.Conclusion It is a simple and effective method by using posterior tibial artery perforator flap to treat anterior medial incision poor healing one-stage with non-acute infection after Pilon fracture on the basis of thorough debridement,worthy of clinical application and promotion.
