Clinical application of the modified medial fascia pedicel flap of the lower leg and the research of the zonation of the fascia pedicel's location
10.3760/cma.j.issn.1001-2036.2009.05.006
- VernacularTitle:改良小腿内侧筋膜蒂皮瓣的临床应用和筋膜蒂位置分区的研究
- Author:
Xinzhong SHAO
;
Xiaoqing SU
;
Yadong YU
;
Jianjie XU
;
Xiaoliang YANG
;
Yali XU
- Publication Type:Journal Article
- Keywords:
Lower leg;
Surgical flap;
Transplantation;
Microsurgery
- From:
Chinese Journal of Microsurgery
2009;32(5):366-368,illust 2
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the design and clinical result of the modified medial fasciocutaneous flap of lower leg in the different zonation. Methods The length of lower leg was divided into three zonations equally.According to the different zonation of the fasciocutaneous flap,the 45 patients were divided into three groups from Jan.2005 to Feb.2008.The defects of the patients were repaired with the flaps.The sizes of the flaps ranged from 5 cm×3 cm to 25 cm×10 cm.Results The flaps survived completely in 43 cases.The distal sides of flaps necrosed partially in 2 cases in the upper third of the lower leg.The necrosed part of the flap was repaired after the change dressings.The colour and texture of flaps were excellent,the appearance and function were satisfactory after a follow up of 4-20 months.Conclusion The modified medial fasciocutaneous flap of the lower leg is easy to design and dissect,blood supply is reliable without sacrifice of the major arteries.The flap can be used according to the different location of the fascia pedicel.It is the idea flap to repair the soft tissue defects of the front of knee joint,the leg,the ankle and the foot.
