Clinical application of reversed saphenous neurocutaneous vascular flap pedicle with the perforating branches of the tibialis posterior artery
- VernacularTitle:胫后动脉穿支蒂隐神经营养血管逆行皮瓣的临床应用
- Author:
Yimin CHAI
;
Xunyong QIU
;
Chongzheng LIN
;
Xinchi MA
;
Yankun CHEN
- Publication Type:Journal Article
- Keywords:
Saphenous nerve;
Greater saphenous vein;
Surgical flap;
Leg;
Repair
- From:
Chinese Journal of Microsurgery
2000;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the improved operative technique and clinical results of reversed saphenous neurocutaneous vascular flap. Method Under the guidance of Doppler flowmeter,a reversed saphenous neurocutaneous vascular flap pedicle with the perforating branches of the tibialis posterior artery were designed to repair the skin defects of the middle and lower leg,the ankle and the foot. Results The modified flaps were applied in 7 cases,all flaps survived completely. The size of the flaps ranged from 15cm?8cm to 5cm?4cm,the location of the perforating branches were 8～20 cm above the medial malleolus. The colour and texture of the flaps were excellent,the outline and functional results were satisfactory after 6～18 months follow up. Conclusions The flap is easy to design and dissect,blood supply is reliable,it is suitable for repairing the soft tissue defects of the middle and lower leg,the ankle and the foot. It is a new type of flap combining the neurocutaneous vascular flap with the perforator flap.
