Clinical application of free anterolateral thigh perforator flap in repairing bone exposure of diabetic foot ulcers
10.3760/cma.j.cn.115807-20200325-00091
- VernacularTitle:游离股前外侧穿支皮瓣在修复糖尿病足溃疡骨外露中的应用
- Author:
Jianjun ZHAO
1
;
Zhenjun XIE
;
Huifeng ZHANG
;
Guohong ZHAO
;
Rutao XU
Author Information
1. 河南省人民医院（郑州大学人民医院）手足显微外科，郑州 450003
- Keywords:
Diabetic foot;
Ulceration;
Perforator flap;
Repair
- From:
Chinese Journal of Endocrine Surgery
2021;15(3):221-224
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of free anterolateral thigh perforator flap on repair of bone exposure of diabetic foot ulcer.Methods:From Sep. 2016 to Dec. 2019, free anterolateral thigh perforator flap was used to repair 19 cases of diabetic foot ulcer with bone exposure. The area of the flap ranged from 5.0 cm×7.0 cm to 10.0 cm×16.0 cm. The donor site of the flap was sutured directly. The patients were followed up regularly by outpatient and telephone.Results:18 of the 19 cases survived completely, in one case, most of the flap were necrotic, healed after second stage skin grafting; 5 flaps developed edema due to low albumin, and healed after stitches removal, dehydration, albumin supplement and secondary suture and antibiotic replacement. Through 6 to 24 months of follow-up study we concluded that flap transfer could functionally and morphologically repair wounds with soft tissue defect and infection.Conclusion:Free anterolateral thigh perforator flap is effective in repairing diabetic foot ulcer and can effectively reduce disability rate.
