• Department of Microsurgery, Hainan Provincial People’s Hospital, Haikou Hainan, 570311, P. R. China;
Saphenous nerve; Great saphenous vein; Flap; Repair 
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Objective To investigate the clinical feasibility of different types of the saphenous neuro-veno-fascial cutaneous flaps. Methods From June 1996 to October 2002, 18 cases of skin defects in the knee and the lower part of the limb were treated with proximally(4 cases) or distally(11 cases) based pedicles of saphenous neuro-venofascial cutaneous flap or crossleg flap (3 cases)according to the site of defects . The sizes of the flaps ranged from 4 cm×5 cm to 9 cm×20 cm. Results The flaps survived completely in 17 cases, distal 1/5 of the flap necrosed partially in 1 case because of vein drainage disturbance. The colour and texture of flaps were excellent, the appearance and function were satisfactory after a follow up of 6-24 months.Conclusion The saphenous neuro-veno-fascial cutaneous flap is an idea flap in repairing skin defects of the knee, the leg, the ankle and the foot because it is easy to be designed and dissected and it has reliable blood supply and preserved main artery. The relationship between the septal perforating branches of the tibial posteriorartery and survival size of flap need to be investigated further.

Citation： CHAI Yimin,LU Guokun,CHEN Yankun,et al.. CLINICAL APPLICATION OF THE SAPHENOUS NEURO-VENO-FASCIAL CUTANEOUS FLAP. Chinese Journal of Reparative and Reconstructive Surgery, 2004, 18(6): 466-467. doi: Copy