Clinical application of lateral musculocutaneous perforator flap of crus for repairing soft tissue defect of foot and ankle
10.3760/cma.j.issn.1671-0290.2020.04.019
- VernacularTitle:小腿外侧肌皮穿支皮瓣修复足踝部软组织缺损的临床疗效
- Author:
Shenxing TAN
1
;
Xiaosheng LU
;
Zhe CAO
;
Yongqiang GUO
;
Xiaoqin LIANG
;
Yuanyuan LIU
;
Changying NIU
Author Information
1. 潍坊医学院附属医院 261000
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2020;26(4):335-337
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application of peroneal artery pedicled with lateral calf muscle wear skin flap in repair of foot and ankle soft tissue defect.Methods:From February 2017 to May 2019, the peroneal artery pedicled with lateral calf muscle wear foot and ankle soft tissue defect was used with skin flap in 20 cases, which included car accident injuries in 11 cases, 3 cases of heavy injuries, skin ulcer in 4 cases, and 2 cases of bone scars. All of the affected limb wounds presented with the exposure of deep tissue such as bone or tendons. The flap cut ranged from 5.0 cm×4.0 cm~7.0 cm×5.0 cm. The donor area was closely sutured in 5 cases, and inguinal full thickness skin pack was used with skin grafting in 15 cases.Results:20 cases of postoperative skin flap survived of all, healing of wounds and cuts for phase I. After follow-up of 5~18 months, the flap had good shape and wear-resistant quality, without feeling bloated. The two points of flap were different within 3~5 mm; the functional activity of the ankle joint was good in the affected limb, with satisfactory results.Conclusions:It is a convenient and reliable procedure, with smaller surgical trauma, which is an ideal skin flap for repair of soft tissue defect in foot and ankle.
