Clinical application effects of tissue flaps prepared from the discarded limbs after amputation in patients with destructive wounds in the lower limbs
10.3760/cma.j.cn501225-20240605-00212
- VernacularTitle:用下肢毁损性创面患者截肢后废弃肢体制成的组织瓣的临床应用效果
- Author:
Mitao HUANG
1
;
Zhiyou HE
1
;
Pihong ZHANG
1
;
Minghua ZHANG
1
;
Xu CUI
1
;
Le GUO
1
;
Xiaoyuan HUANG
1
;
Pengfei LIANG
1
Author Information
1. 中南大学湘雅医院烧伤整形外科，长沙 410008
- Publication Type:Journal Article
- Keywords:
Burns;
Extremities;
Surgical flaps;
Amputation;
Destructive injuries in the lower limbs;
Discarded limbs;
Wound repair
- From:
Chinese Journal of Burns
2025;41(1):77-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application effects of tissue flaps prepared from the discarded limbs after amputation in patients with destructive wounds in the lower limbs.Methods:The study was a retrospective observational study. From March 2019 to March 2024, 7 male patients with destructive wounds in the lower limbs who met the inclusion criteria were admitted to the Department of Burns and Plastic Surgery of Xiangya Hospital of Central South University, aged 35 to 57 years. After clinical treatment, the damaged limbs were still difficult to preserve. Five patients with destructive wounds in the lower limbs were repaired with pedicled tissue flaps prepared from the discarded limbs after amputation, with wound areas of 15 cm×10 cm to 25 cm×15 cm and tissue flap incision areas of 15 cm×10 cm to 20 cm×15 cm. Two patients with destructive wounds in the lower limbs were repaired with free tissue flaps prepared from the discarded limbs after amputation, with wound areas of 22 cm×18 cm and 25 cm×15 cm and tissue flap incision areas of 23 cm×20 cm and 25 cm×18 cm. The survival of the tissue flap, the healing and appearance of wounds in the recipient site were followed up. At the last follow-up, the recovery status of the recipient site was evaluated according to the comprehensive flap evaluation scale, and the status of corrective prosthesis fitting was recorded.Results:During the follow-up of 6 to 24 months, all the tissue flaps successfully survived, with good healing and appearance of wounds in the recipient site. At the last follow-up, the scores of the recovery status of the recipient site ranged from 36 to 39 (with an average of 37.2). All amputated limbs were able to accommodate corrective prostheses with no distal ulceration.Conclusions:Utilizing tissue flaps prepared from the discarded limbs after amputation in patients with destructive wounds in the lower limbs to repair wounds effectively uses the discarded tissue and avoid creating new donor sites, which is a method to be considered for repairing multiple destructive wounds.
