Different reverse points of forward lateral malleolus perforator flap in the repair of skin and soft tissue defect of ankle or dorsal foot
10.3760/cma.j.issn.1001-2036.2018.03.007
- VernacularTitle:外踝上前穿支皮瓣修复踝部及足背软组织缺损
- Author:
Yingbo ZHAO
1
;
Guoguang DAI
;
Jichuan ZHANG
;
Haiqing LI
Author Information
1. 聊城市人民医院足踝外科
- Keywords:
Forward lateral malleolus perforator flap;
Dorsal foot;
Ankle;
Skin and soft tissue defect;
Repair
- From:
Chinese Journal of Microsurgery
2018;41(3):232-235
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical effects of forward lateral malleolus perforator flap in the repair of skin and soft tissue defect of ankle or dorsal foot.Methods From November,2014 to June,2017,16 cases of skin and soft tissue defect in ankle or dorsal foot had been repaired,which were 11 males and 5 females,aged from 25to 58 years old(average,32.5 years).The rotation points were on proximal 5 cm of the lateral malleolus in 11 cases and on the level of tarsal sinus in 5 cases.The largest flap was 10.0 cm×18.0 cm and the smallest flap was 6.0 cm×4.0 cm.The color,thickness,texture,sensation,appearance,donor site shape and functional were followed-up after operation.Results All the 16 patients were followed-up from 1 to 24 months.The distal flap appeared dark in 1 case 2 days after operation,and blood supply was improved after stitches;One case was superficial necrosis and healed after dressing.All the flaps had good appearance and texture,no pigmentation,scar contracture,and so on.Conclusion The forward lateral malleolus perforator flaps have perforator constantly and the color,thickness are similar with the receiving areas,the rotation point could on proximal 5 cm of the lateral malleolus and on the level of tarsal sinus,which is a good method to repair skin and soft tissue defect of ankle or dorsal foot.
