Clinical application of distally-based the perforator saphenous neuro-veno-fasciocutaneous flap

VernacularTitle:内踝前穿支蒂隐神经营养血管皮瓣的临床应用
Author: Song-Qing LIN ; Feng-Ying LIN ; Fa-Hui ZHANG ;
Publication Type:Journal Article
Keywords: Medial malleolus; Saphenous neuro-veno-fasciocutaneous flap; Transplantation; Microsurgery
From: Chinese Journal of Microsurgery 2010;33(2):112-114,后插五
CountryChina
Language:Chinese
Abstract: Objective To explore distally-based the interal ankle perforator saphenou neuro-veno-fasciocutaneous flap has been universally adopted for the repairment of the foot and the ankle soft-tissue defects.Methods Lay a foundation of anatomic studying,using the interal ankle perforator saphenous neuro-venofasciocutaneous flap 10 cases, the flap axis point was 1-3 cm above the pink of the interal ankle, average 2 cm. The scope of the flap were 4.0 cm× 3.0 cm-8.0 cm× 6.0 cm. Results All the perforator saphenous neuro-veno-fasciocutaneous flap were lively. About all, 2 cases had the small distant part necrosis, 1 case accompanying with subcutaneous tissue heels after change dressings, another heels after skin grating. All case can walk as usual, the flap had wear-resisting and keenly feel. Conclusion Distally-based the interal ankle perforator saphenous neuro-veno-fasciocutaneous flap, near ankle, donner area exiting fine, utlizing scope large, skin nice, grating easy, no hurting important blood vessle, alive rate high, it is an good donner area in repairing the foot and the ankle soft-tissue defects.