Repair of foot degloving injury by ALTF combined with MPF
10.3760/cma.j.cn441206-20210223-00053
- VernacularTitle:ALTF联合MPF修复足部脱套伤
- Author:
Xianhai LI
1
;
Jiandong ZHOU
;
Zheng CHEN
;
Yajun XU
Author Information
1. 浙江省舟山医院骨科，浙江 舟山 316021
- Keywords:
Anterolateral thigh flap(ALTF);
Medial plantar flap(MPF);
Transplantation;
Foot degloving injury;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2021;44(6):637-641
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of free anterolateral thigh flap(ALTF) combined with medial plantar flap(MPF) transfer in repairing forefoot and mid-foot degloving injury.Methods:From May, 2016 to November, 2019, 6 patients with forefoot and mid-foot degloving injuries underwent reconstructions using free ALTF combined with MPF. The study included 4 males and 2 females patients with an average of 43 (range, 35-55) years. The size of soft tissue defects was 15 cm×12 cm-19 cm×14 cm. The dimension of the MPF was 8 cm×5 cm-10 cm× 6 cm, and that of ALTF was 16 cm×7 cm-20 cm×8 cm. The ALTF was used to cover the dorsal and lateral foot, the flap artery was anastomosed to the dorsalis pedis artery. The MPF was used to repair the weight-bearing area of the forefoot, the flap artery was anastomosed to the medial plantar artery in recipient site. All patients entered follow-up by outpatient clinic or Wechat for 9-18(mean, 14) months, and the appearance of flap and limb function were recorded.Results:The MPF and ALTF survived uneventfully in all 6 patients, and the wound in donor and recipient areas healed in one stage. At the last follow-up, the flaps had satisfactory contour, the texture of the flaps was soft, the protective sensation was recovered, and the appearance and function of the foot recovered satisfactorily. The Maryland score of reconstructed foot function was considered excellent (90-100) in 4 cases and good (75-89) in 2 cases. The average Maryland score was 91.2.Conclusion:ALTF combined with MPF generated good effect and satisfactory function in repairing forefoot and mid-foot degloving injury.
