Repairing anterior tibial double wounds by transposition with single-pedicle two flaps of the medial head of gastrocnemius
10.3760/cma.j.cn114798-20200327-00378
- VernacularTitle:腓肠肌内侧头一蒂两瓣转移修复胫前相邻双创面的疗效观察
- Author:
Gonglin ZHANG
1
;
Fugui SHI
;
Xinggao WANG
;
Zhiju FENG
;
Ruxiang HE
;
Jun HU
;
Ping SUN
;
Xiaotai YUE
;
Wenxue ZHAO
;
Weishi WANG
Author Information
1. 兰州市兰州手足外科医院手外科 730050
- From:
Chinese Journal of General Practitioners
2020;19(10):927-930
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of the repairing anterior tibial adjacent double wounds by transposition with single-pedicle two flaps of the medial head of gastrocnemius.Methods:Between January of 2012 and January of 2018, 10 patients with the anterior tibial adjacent double wounds (7 males and 3 female, aged from 21 to 45 years) were treated by transposition with single-pedicle two flaps of the medial head of gastrocnemius. The size of the soft-tissue defects ranged from 2.0 cm×2.5 cm to 4.5 cm×4.0 cm. The medial head of the gastrocnemius was divided into two flaps with a single pedicle to repair two adjacent wounds of the anterior tibial. The muscle flaps were immediately covered by a meshed split-thickness skin graft, and the wound in donor site was closed directly.Results:All the muscle flaps survived completely. No clinical vascular deficiency was found on the muscle flaps postoperatively. Small wound dehiscence was developed in one patient and spontaneously healed 2 weeks after dressing change. Patients were followed up for 2.0 to 4.5 years. A good contour was confirmed at the recipient and donor sites. Satisfactory clinical results were obtained in this series.Conclusion:This method is suitable for the repair of two adjacent small wounds of the anterior tibial which can reduce the damage to the donor site.
