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find Author "管力" 2 results
  • REPAIR OF SMALL AND MEDIUM-SIZED SOFT TISSUE DEFECT IN ANKLE WITH SURAL NEUROCUTANEOUSVASCULAR FLAP PEDICLED ON MAIN PERFORATING BRANCH OF PERONEAL ARTERY

    Objective To investigate the operative techniques and cl inical results of sural neurocutaneous vascular flap pedicled on the relatively higher and main perforating branch of peroneal artery in repairing small and medium-sized soft tissue defects in ankle. Methods From July 2004 to February 2007, 14 patients (9 males and 5 females, aged 19-53 years) withsmall and medium-sized soft tissue defects in ankle were treated, including 4 cases of skin necrosis caused by surgery for achilles tendon rupture, 3 soft tissue defects due to car accident, 2 crush injury due to fall ing heavy objects, 2 chronical infectious ulcer, 2 skin necrosis cuased by surgery for calcaneus fracture and 1 melanoma resection in heel. Ranging from 4 cm × 2 cm to 9 cm × 5 cm and combing with exposure of either tendon or bone, the defects were in ankle areas (12 cases) and weight-bearing heel (2 cases). The time from injury to hospital ization was 12 days to 13 months, except 3 cases of emergency hospital ization. After thorough debridement, the sural neurocutaneous vascular flaps (13 cm × 5 cm - 36 cm × 6 cm ) pedicled on the perforating branch of peroneal artery was harvested to repair the defects. The donor sites were sutured directly. Results Postoperatively all the flaps survived, and all the donor sites and wounds healed by first intention. Over a 7-23 month follow-up period, the texture, appearance and color of the flaps in all cases were good, with two-point discrimination of 7-12 mm.The function of ankle obtained satisfactory recovery with normal in-shoe gait. Conclusion With a rel iable blood supply, simple operative procedure, sound repair of wound and satisfactory recovery of l imb function, the sural neurocutaneous vascular flap pedicled on the relatively higher and main perforating branch of peroneal artery is appl icable for the repair of small and medium-sized defects in the ankle and weight-bearing area of heel, especially for patients who have no satisfactory perforating branch in lower position.

    Release date:2016-09-01 09:05 Export PDF Favorites Scan
  • 游离穿支腓肠神经营养血管皮瓣修复手背软组织缺损

    总结吻合腓动脉穿支游离腓肠神经营养血管皮瓣修复手背软组织缺损的手术方法及临床效果。 方法 2005 年12 月- 2008 年5 月,收治5 例手背软组织缺损患者。男4 例,女1 例;年龄17 ~ 42 岁,平均29 岁。机器绞伤2 例,交通伤、慢性感染溃疡及蛇咬伤后皮肤坏死各1 例。软组织缺损范围为7 cm × 6 cm ~ 10 cm × 9 cm。术中采用大小为8 cm × 7 cm ~ 12 cm × 10 cm 的游离穿支腓肠神经营养血管皮瓣修复缺损。供区游离植皮修复闭。 结果 术后皮瓣及植皮均成活,供受区创面均Ⅰ期愈合。患者均获随访,随访时间7 ~ 13 个月。皮瓣外形及功能满意,两点辨别觉为7 ~ 11 mm。供区肢体无异常,正常行走。 结论 游离穿支腓肠神经营养血管皮瓣厚度适宜,质地优良,切取简便,不牺牲主干血管,是修复手背软组织缺损的理想方法之一。

    Release date:2016-09-01 09:07 Export PDF Favorites Scan
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