组织工程与重建外科杂志2023，Vol.19Issue(6)：541-543,548,4.DOI:10.3969/j.issn.1673-0364.2023.06.004
游离股前外侧皮瓣修复足底负重区软组织缺损的效果
The effectiveness of free anterolateral thigh flap on repairing soft tissue defects in the plantar load-bearing area
摘要
Abstract
Objective To explore the clinical effect of free anterolateral thigh flap(ALTF)for repairing soft tissue defects in the plantar load-bearing area.Methods From March 2020 to March 2021,12 patients with soft tissue defects in the plantar weight-bearing area were selected,the soft tissue defect ranged from 8 cm×6 cm to 26 cm×16 cm.After emergency debridement,ALTF was used to repair soft tissue defects,and the donor site wounds were directly sutured or grafted with full-thickness skin.Results All 12 flaps survived in this group,with 2 cases showing slight exudation at the edge of the flap and accompanied by non healing of the wounds.The wounds self-healed after dressing change,debridement,anti-inflammatory treatment,and other treatments.All 12 patients were followed up for 6-12 months after operation,and the skin flap texture was relatively soft and the appearance recovery was good.After operation,physical therapy and functional rehabilitation training were carried out under the guidance of medical staff,and the range of foot movement and strength were basically restored.At the last follow-up,all patients returned to normal gait.During the final follow-up,there was 1 case with S1 grade sensory function in the plantar area(8.33%),3 cases with S2 grade(25.00%),6 cases with S3 grade(50.00%),and 2 cases with S4 grade(16.67%).The postoperative foot function scores at week 1,month 3,and month 6 were 46.25±5.27,73.14±8.42 and 88.74±10.51,respectively.Statistics showed that Maryland's foot function score in the 6th month>3rd month>1st week(P<0.05).Conclusion The use of free ALTF technology for repairing soft tissue defects in the plantar load-bearing area of patients has shown good clinical results and is worth promoting and applying in clinical practice.关键词
股前外侧皮瓣/足底负重区/创面修复/感觉恢复/足踝功能Key words
Anterolateral femoral flap/Plantar weight-bearing area/Trauma repair/Sensory recovery/Foot and ankle function分类
医药卫生引用本文复制引用
石玲玲,吴进,郭志民,丁罗兵,张剑平..游离股前外侧皮瓣修复足底负重区软组织缺损的效果[J].组织工程与重建外科杂志,2023,19(6):541-543,548,4.基金项目
全军后勤科研项目(20XLS21). （20XLS21）
