Efficacy of "tennis racket"-like flap with retrograde medial plantar on repairment of frontal plantar tissue defects
10.3760/cma.j.issn.1671-0290.2017.06.008
- VernacularTitle:“网球拍”状足底内侧逆行皮瓣修复前侧足底缺损的疗效
- Author:
Ding CHENG
1
;
Shuying CUI
;
Chengshu ZHANG
;
Yanling LI
;
Heng LI
;
Xiangling WANG
;
Le ZHENG
;
Junsheng HU
;
Kuishui SHOU
Author Information
1. 467000,平顶山市平煤神马医疗集团总医院烧伤整形科
- Keywords:
Medial plantar flap;
Retrograde flap;
Frontal plantar tissue defects
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2017;23(6):386-389
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical experience and surgical method of the repairment of frontal plantar tissue defects by using "tennis racket"-like flap with the medial plantar retrograde,and to study the reliability in the clinical application of the medial plantar retrograde flap.Methods From June 2011 to June 2016,"tennis racket"-like flap with the medial plantar retrograde was used to repair the frontal plantar tissue defects in 10 cases.The cutting range of flap was from 3.5 cm × 2.0 cm to 8.0 cm x 4.0 cm in size;in all patients the donor area was covered by skin grafts.Results All flaps survived and wounds healed by first intention.In 10 patients the donor sites healed primarily with a straight scar,and the appearance and texture of the flaps were satisfactory.All patients were followed up from 6 to 24 months (mean 12 months).According to the Chinese foot function evaluation standard trial evaluation,the outcomes were excellent in 9 cases,good in 7 cases,and medium in 2 cases.Conclusions "Tennis racket"-like flap with the medial plantar retrograde is less anatomic variation with reliable blood supply,and sensory recovery is quick;the donor site is a small crater and cicatrial contractures are light;the cost is low.All patients are treated on one session and therefore it is an ideal method for the repairment of frontal plantar tissue defects.