Introduction: Coverage of defects of the distal lower extremity and foot remains a challenging reconstructive prcedure. Free tissue transfer remains the standard for the management of these defects. However, there are...Introduction: Coverage of defects of the distal lower extremity and foot remains a challenging reconstructive prcedure. Free tissue transfer remains the standard for the management of these defects. However, there are some disadvantages like;longer operative times, bulky contour, and the need for highly skilled expertise. The reverse superficial sural artery flap (RSSAF) is a distally based fasciocutaneous or adipo-fascial flap that is used for coverage of defects that involve the distal third of the leg, ankle, and foot. A significant advantage of this flap is a constant blood supply that does not require sacrifice of a major artery. Methods: Twenty RSSAF flaps were harvested for reconstruction of different traumatic soft tissue defects of the lower third of leg, ankle and foot. Follow up for 6 months postoperative. Results: Twenty Patients;twelve males and eight females underwent reconstruction of different soft tissue defects over the foot and ankle using RSSAF. The overall complications occurred in 6 flaps;4 minor and 2 major complications. The remaining 14 flaps passed an uneventful follow up. Conclusions: The reverse superficial sural artery flap RSSAF can be used as a reliable alternative to free tissue transfer in reconstruction of defects over the lower third of leg, ankle, and foot. Venous congestion is the major threat to the flap but its incidence can be minimized by wide pedicle, less kink of the flap, and keep the venae comitants around the artery.展开更多
To explore lower rotating potint nutrient vessels of sural nerve flap with distant pedicled repairing the soft tissue defect of foot and ankle.Methods Lay a foundation of anatomic studying from february 2003 to March ...To explore lower rotating potint nutrient vessels of sural nerve flap with distant pedicled repairing the soft tissue defect of foot and ankle.Methods Lay a foundation of anatomic studying from february 2003 to March 2004,using lower rotating point nutrient vessels of sural nerve flap with distant pedicled repairing the soft tissue defect of foot and ankle in 11 cases.Cause of injuring:traffic accident 7 cases,crushing 1 case,saw injury 1 case,skin cancer 1 case,chronic ulcer 1 case.Areas:foot heel 6 cases,shank lower section 2 cases,heel tendon 2 cases,the distant back of the foot 1 case.Using the flap axis point was 1～3 cm above the pin of the external heel,average 2 cm.The scope of the flap was 6.0 cm×8.0 cm～12.0 cm～18.0 cm.Results All sural nerve flaps were alive.Of them,2 cases have distant part necrosis,accompanying with subcutaneous tissue,1 case heels after change dressings,another heels after skin grafting.All case can walk as usual,the flap was wear-resisting and keenly feel.Conclusion Lower rotating point nutrient vessels of sural nerve flap,donner area was fine,available area was large,skin in the pink,easy grafting,without main blood vessel damage,survival rate high,it is a good donner area in repairing around heel,foot and shank lower section.7 refs,1 tab.展开更多
目的:观察探讨足踝皮肤软组织缺损患者应用腓肠神经营养皮瓣移植修复的效果。方法:选择蚌埠医科大学第一附属医院2021年2月—2024年5月收治的72例足踝皮肤软组织缺损患者,以随机数字表法分为对照组(n=36,给予股前外侧皮瓣移植修复)、观...目的:观察探讨足踝皮肤软组织缺损患者应用腓肠神经营养皮瓣移植修复的效果。方法:选择蚌埠医科大学第一附属医院2021年2月—2024年5月收治的72例足踝皮肤软组织缺损患者,以随机数字表法分为对照组(n=36,给予股前外侧皮瓣移植修复)、观察组(n=36,给予腓肠神经营养皮瓣移植修复)。比较两组皮瓣修复效果、并发症发生率、皮肤弹性、美国足踝外科协会(AOFAS)踝-后足评分、温哥华瘢痕量表(VSS)、满意度。结果:观察组皮瓣修复优良率(91.67%)与对照组比较(75.00%),差异无统计学意义(P>0.05)。观察组并发症发生率与对照组比较,差异无统计学意义(P>0.05)。观察组皮肤弹性优于对照组,差异有统计学意义(P<0.05)。观察组治疗后60 d AOFAS踝-后足评分较对照组高,治疗后90 d VSS评分较对照组低,差异均有统计学意义(P<0.05)。观察组总满意度较对照组高,差异有统计学意义(P<0.05)。结论:足踝皮肤软组织缺损患者应用腓肠神经营养皮瓣移植修复治疗在改善局部皮肤弹性、改善足踝功能、减轻瘢痕遗留的方面具有显著优势,有助于患者获得满意的预后。展开更多
文摘Introduction: Coverage of defects of the distal lower extremity and foot remains a challenging reconstructive prcedure. Free tissue transfer remains the standard for the management of these defects. However, there are some disadvantages like;longer operative times, bulky contour, and the need for highly skilled expertise. The reverse superficial sural artery flap (RSSAF) is a distally based fasciocutaneous or adipo-fascial flap that is used for coverage of defects that involve the distal third of the leg, ankle, and foot. A significant advantage of this flap is a constant blood supply that does not require sacrifice of a major artery. Methods: Twenty RSSAF flaps were harvested for reconstruction of different traumatic soft tissue defects of the lower third of leg, ankle and foot. Follow up for 6 months postoperative. Results: Twenty Patients;twelve males and eight females underwent reconstruction of different soft tissue defects over the foot and ankle using RSSAF. The overall complications occurred in 6 flaps;4 minor and 2 major complications. The remaining 14 flaps passed an uneventful follow up. Conclusions: The reverse superficial sural artery flap RSSAF can be used as a reliable alternative to free tissue transfer in reconstruction of defects over the lower third of leg, ankle, and foot. Venous congestion is the major threat to the flap but its incidence can be minimized by wide pedicle, less kink of the flap, and keep the venae comitants around the artery.
文摘To explore lower rotating potint nutrient vessels of sural nerve flap with distant pedicled repairing the soft tissue defect of foot and ankle.Methods Lay a foundation of anatomic studying from february 2003 to March 2004,using lower rotating point nutrient vessels of sural nerve flap with distant pedicled repairing the soft tissue defect of foot and ankle in 11 cases.Cause of injuring:traffic accident 7 cases,crushing 1 case,saw injury 1 case,skin cancer 1 case,chronic ulcer 1 case.Areas:foot heel 6 cases,shank lower section 2 cases,heel tendon 2 cases,the distant back of the foot 1 case.Using the flap axis point was 1～3 cm above the pin of the external heel,average 2 cm.The scope of the flap was 6.0 cm×8.0 cm～12.0 cm～18.0 cm.Results All sural nerve flaps were alive.Of them,2 cases have distant part necrosis,accompanying with subcutaneous tissue,1 case heels after change dressings,another heels after skin grafting.All case can walk as usual,the flap was wear-resisting and keenly feel.Conclusion Lower rotating point nutrient vessels of sural nerve flap,donner area was fine,available area was large,skin in the pink,easy grafting,without main blood vessel damage,survival rate high,it is a good donner area in repairing around heel,foot and shank lower section.7 refs,1 tab.
文摘目的:观察探讨足踝皮肤软组织缺损患者应用腓肠神经营养皮瓣移植修复的效果。方法:选择蚌埠医科大学第一附属医院2021年2月—2024年5月收治的72例足踝皮肤软组织缺损患者,以随机数字表法分为对照组(n=36,给予股前外侧皮瓣移植修复)、观察组(n=36,给予腓肠神经营养皮瓣移植修复)。比较两组皮瓣修复效果、并发症发生率、皮肤弹性、美国足踝外科协会(AOFAS)踝-后足评分、温哥华瘢痕量表(VSS)、满意度。结果:观察组皮瓣修复优良率(91.67%)与对照组比较(75.00%),差异无统计学意义(P>0.05)。观察组并发症发生率与对照组比较,差异无统计学意义(P>0.05)。观察组皮肤弹性优于对照组,差异有统计学意义(P<0.05)。观察组治疗后60 d AOFAS踝-后足评分较对照组高,治疗后90 d VSS评分较对照组低,差异均有统计学意义(P<0.05)。观察组总满意度较对照组高,差异有统计学意义(P<0.05)。结论:足踝皮肤软组织缺损患者应用腓肠神经营养皮瓣移植修复治疗在改善局部皮肤弹性、改善足踝功能、减轻瘢痕遗留的方面具有显著优势,有助于患者获得满意的预后。
