Free anterolateral thigh flap 15 cases of plantar soft tissue defect.docVIP

 PAGE \* MERGEFORMAT 5 Free anterolateral thigh flap 15 cases of plantar soft tissue defect Plantar soft tissue defects due to trauma caused by using traditional treatment methods to be ineffective. January 2000 -2,009 year in August our hospital anterolateral thigh flap plantar soft tissue defects in 15 cases, results were satisfactory, the report is as follows. A clinical data The group of 15 patients, 10 males and 5 females, aged 25-50 years old. Transport injury in 11 cases, coal injured by stones in 4 cases, duration of 1-10 years, the wounds of the smallest 15cm * 12cm, maximum 26cm * 21cm. 15 cases were using free anterolateral thigh flap plantar soft tissue defects, the results of operations are successful. Follow-up 3 months -2 years, 15 cases of flap shape satisfaction, temperature, pain, touch and restore good, good weight-bearing, non-ulcer formation. Two surgical methods 2.1 by the District to prepare a thorough debridement, careful hemostasis, was taken from below the ankle after plantar incision wound, free posterior tibial artery and vein, or great saphenous vein, small saphenous vein as a recipient site artery and vein, free medial cutaneous nerve of the dorsal foot , marked the reserve. 2.2 The flap was designed to take on the contralateral limb flap, taking anterior superior iliac spine and the outer edge of the patella lateral to connect the midpoint of the spiral artery musculocutaneous arteries bone piercing point, the point and the midpoint of the groin Ren persons, connected lateral artery for the spin of bone surface projection. Based on the size of plantar soft tissue defects in the design racket-like flap, first take the pedicle incision line along the blood vessels do Traveling incision retractor rectus femoris and vastus lateralis muscle, revealed descending branch of lateral circumflex femoral artery, for the first musculocutaneous artery, according to the design cut flap around under the separation of the superficial fascia,