Leg retrograde neurocutaneous island flap to repair vascular wounds ankle.docVIP

 PAGE \* MERGEFORMAT 13 Leg retrograde neurocutaneous island flap to repair vascular wounds ankle [Abstract] Objective leg retrograde neurocutaneous island flap to repair vascular wounds ankle. Methods March 2006 to February 2008, 13 cases of skin and soft tissue defects in ankle Wound leg retrograde neurocutaneous island vessels skin flap repair, which saphenous neurocutaneous island flap in 3 cases, retrograde sural neurocutaneous island flap in 10 cases. flap area of 5.0 cm 6.0 cm ~ 10.5 cm 8.0 cm. Results 13 cases of skin flap surgery, 11 patients all survived, 1 case of distal partial necrosis healed after changing dressing, 1 most of the necrosis, the patient refused surgery. followed up for 5 to 15 months, the flap is soft, flexible, , appearance satisfaction, the color close to normal, the normal ankle, the patient satisfaction with appearance and function of the flap. donor skin graft all survived, appearance satisfaction. Conclusion leg neurocutaneous island flap to repair soft tissue defects ankle wound an ideal surgical method. [Keywords:] flap repair skin defects of the saphenous nerve sural nerve treatment outcome Abstract: Objective To observe the clinical effect of the transplantation of retrograde island vascular pedicle skin flaps of lower leg cutaneous nerve nutrient vessel for the repaire of the skin and soft tissue defects on ankle.Methods From March 2006 to February 2008,13 cases with skin and soft tissue defects on ankle were reconstructed with retrograde island vascular pedicle skin flaps of lower leg cutaneous nerve nutrient vessel.Among of these, 3 cases were repaired with the flaps of saphenous nerve nutrient vessel, 10 cases were sural nerve nutrient vessel, the size of the skin flaps were 5.0 cm 6.0 cm ~ 10.5 cm 8.0 cm.Results The flaps survived completely after operation in 11 cases, one flap were marginal necrosis, rerovered after change dressings, one necrosis largely, but no operated again.Followed up from 5 months