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低旋转点腓肠神经筋膜皮瓣修复足部中远端组织缺损的临床应用

许瑾 王明刚 李勇 武朱明 余勇

中国美容医学2011,Vol.20Issue(3):372-374,3.
中国美容医学2011,Vol.20Issue(3):372-374,3.

低旋转点腓肠神经筋膜皮瓣修复足部中远端组织缺损的临床应用

Make down the pivot point of sural neurofasciocutaneous flap to reconstruct tissue defects of middle or distant foot

许瑾 1王明刚 1李勇 2武朱明 2余勇2

作者信息

  • 1. 安徽医科大学附属省立医院整形外科,安徽,合肥,230000
  • 2. 安徽省蚌埠市第三人民医院烧伤整形科,安徽,蚌埠,233000
  • 折叠

摘要

Abstract

Objective To approach the method of reconstruct tissue defects of middle or distant foot by make down the pivot point of sural neurofasciocutaneous flap. Methods We had used lower pivot point sural neurofasciocutaneous flaps in ten patients for reconstruction of tissue defects of distant foot by electrical injuries or traumatisms scince 2006.The size of the flap ranged from 6cm×5cm~12cm×18cm,and the pivot point is at the range of 0~3cm above the lateral malleolus. Results Nine flaps survived completely. In one flap,superficial necrosis about 2cra in distal parts occured and managed successfully by change of dressing and split-thickness skin graft. Conclusion Make down the pivot point flaps can procure enough length to transfer and repair defects at distal end of foot with a safety blood supply. The flap is easily to operated, quick and safe,do not injury major arteries and it expand the application of sural neurofasciocutaneous flap.

关键词

腓肠神经筋膜皮瓣/足部/软组织缺损

Key words

sural neurofasciocutaneous flap/ foot/ soft tissue defect

分类

医药卫生

引用本文复制引用

许瑾,王明刚,李勇,武朱明,余勇..低旋转点腓肠神经筋膜皮瓣修复足部中远端组织缺损的临床应用[J].中国美容医学,2011,20(3):372-374,3.

中国美容医学

1008-6455

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