Repair of leg soft tissue defect with pedicled flap bridge transplantation of one pedicle and two flaps from contralateral medial leg
10.3760/cma.j.cn114798-20200210-00094
- VernacularTitle:小腿内侧一蒂两瓣桥式带蒂转移修复对侧小腿软组织缺损的疗效观察
- Author:
Gonglin ZHANG
1
;
Zhiju FENG
;
Fugui SHI
;
Xinggao WANG
;
Ruxiang HE
;
Jun HU
;
Ping SUN
;
Xiaogtai YUE
;
Wenxue ZHAO
;
Weishi WANG
Author Information
1. 兰州市兰州手足外科医院骨科 730050
- From:
Chinese Journal of General Practitioners
2020;19(7):624-627
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical efficacy of the bridge pedicled transplantation of medial leg fascial flap combined with medial hemisoleus muscle flap for contralateral leg soft tissue defect.Methods:Between January of 2012 and January of 2018, 12 patients with soft tissue defect of the leg were treated with bridge pedicled transplantation of contralateral medial leg fascial flap combined with medial hemisoleus muscle flap by posterior tibial artery. There were 9 males and 3 female, aged from 19 to 53 years (mean, 35 years). The size of the soft-tissue defects ranged from 12 cm×8 cm to 18 cm×9 cm. The immediate coverage of the fascial and muscle flaps and vessel pedicle were repaired by a meshed split-thickness skin graft. The donor site was closed directly. After the transplantation of the one pedicle and two flaps survived, vascular pedicle was cut off.Results:All the fascial and muscle flaps survived completely. No clinical vascular deficiency was found on the fascial and muscle flaps postoperatively. One case developed distal muscle flap small skin graft necrosis, and spontaneous healed after 2 weeks of dressing change. Follow-up period ranged from 2.5 to 4.5 years (mean 3.8 years). A good contour was confirmed both at the recipient and donor sites. Satisfactory clinical results were obtained in this series.Conclusion:This method is suitable for the treatment of soft tissue defects of the leg with only one major blood vessel, which reduces the damage to the donor site.
