Clinical effects of heel lateral flap in repair of skin and soft tissue defects at posterior heel region
10.3760/cma.j.issn.1009-2587.2019.03.010
- VernacularTitle: 跟外侧皮瓣修复跟后区域皮肤软组织缺损的临床效果
- Author:
Wenhu JIN
1
;
Shusen CHANG
;
Zairong WEI
;
Hai LI
;
Jian ZHOU
;
Wei CHEN
;
Guangfeng SUN
;
Xiujun TANG
;
Bo WANG
Author Information
1. Department of Burns and Plastic Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China
- Publication Type:Journal Article
- Keywords:
Surgical flaps;
Heel;
Soft tissue injuries;
Microsurgery;
Heel lateral artery
- From:
Chinese Journal of Burns
2019;35(3):218-220
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effects of heel lateral flap in repair of skin and soft tissue defects at posterior heel region.
Methods:From September 2007 to April 2016, 24 patients (17 males and 7 females, aged 16-70 years) with skin and soft tissue defects at posterior heel region were admitted to our department. The size of skin and soft tissue defects after debridement ranged from 3.0 cm×2.0 cm to 5.0 cm×4.0 cm. The defects were repaired with heel lateral flaps, with size ranging from 3.5 cm×2.5 cm to 6.0 cm×5.0 cm. The flaps were transferred to the donor sites through the loose subcutaneous tunnel. The donor site was repaired by full-thickness skin graft collected from inguinal region. The survival of flaps and the follow-up of patients were observed.
Results:All flaps of 24 patients survived successfully. The recipient sites and donor sites were all healed. The patients all had follow-up of 6 to 24 months. At the last follow-up, the flaps were in good shape, with nearly normal color and soft texture. There were 6 cases of grade S3 sensation and 16 cases of grade S3+ sensation. The distance of two-point discrimination of flaps ranged from 6 to 11 mm. The lateral foot skin grafts healed well, and the skin of the lateral foot was numb in the range of 4.0 cm×2.0 cm to 9.0 cm×3.0 cm.
Conclusions:Heel lateral flap can not only repair the skin and soft tissue defects in the posterior region, but also reconstruct the sensory function of the posterior region. It is an ideal method to repair the skin and soft tissue defects in the posterior region.
