中国骨伤Issue(8)：631-633,3.DOI:10.3969/j.issn.1003-0034.2013.08.004
不同节段的穿支蒂腓肠神经营养血管皮瓣修复下肢缺损
Utility of different levels of perforator based sural neurofasciocutaneous flaps in repairing lower limb defects
孟朝晖 1梁钢 1孙建平1
作者信息
- 1. 绍兴第二医院暨浙江大学附属第一医院绍兴分院烧伤整形外科,浙江 绍兴,312000
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摘要
Abstract
Objective:To investigate the indications and effects of different levels of perforator based sural neurofasciocu-taneous flaps in repairing lower limb defects. Methods:From 2004 to 2012,13 cases of soft tissue defects of lower extremity were successfully reconstructed using different levels of perforator-based sural neurofasciocutaneous flaps ,included 8 males and 5 females with an average age of 38.6 years old ranging from 15 to 76 years old. Perforator based sural neurofasciocuta-neous flaps located at 4 to 7 cm above the tip of the lateral malleolus were used to resurface ankle and foot defects in 8 cases , perforator-based sural neurofasciocutaneous flaps located on 9 to 11 cm above the tip of the lateral malleolus were used to resurface lower third leg defects in 3 cases,as well as perforator based sural neurofasciocutaneous flaps located on 2 cm above the tip of the lateral malleolus were used to repair heel defects in 2 cases. The area of the transferred flaps ranged from 4.5 cm× 2.5 cm to 16 cm×10 cm. The donor sites were covered with skin grafts. Results:All the flaps survived uneventfully with primary healing. Eight patients were follow up for 1 to 12 months with an average of 6 months. The color , luster and texture of flap were good, thickness of flaps was fair. No empyrosis and ulcer occurred. The contour and function were satisfied with both the donor and recipient site. Conclusion:Satisfactory functional results can be achieved by using different segment of perforator based sural neurofasciocutaneous flaps for repairing lower extremity defects.关键词
软组织损伤/外科皮瓣/腓肠神经/下肢/修复重建外科Key words
Soft tissue injuries/Surgical flaps/Sural nerve/Lower extremity/Reconstructive surgical procedures引用本文复制引用
孟朝晖,梁钢,孙建平..不同节段的穿支蒂腓肠神经营养血管皮瓣修复下肢缺损[J].中国骨伤,2013,(8):631-633,3.
