Repair leg fascia flaps large area of soft tissue defects of the foot.doc

 PAGE \* MERGEFORMAT 6 Repair leg fascia flaps large area of soft tissue defects of the foot Of: Wen-Bin Yang, YANG Ke, Wang Feng, Chen Ming [Keywords:] soft tissue defect Weight-bearing foot is an important part of the body, foot and ankle trauma often leads to a larger area of serious skin and soft tissue defects, ankle fractures, joint dislocation and nerve, blood vessels, tendons, bones and other tissues are exposed and often secondary infection, treatment is more difficult , often occurs disabled. traditional skin graft, local flap treatment to be ineffective, while the lower leg, the lateral flap to be at the expense of important blood vessels and lower extremity donor area is limited, the operation is more complex. sural nerve in the application of vascular pedicle flap repair the leg and foot and ankle soft tissue defects [1], based on the use of sural nerve small saphenous vein fasciocutaneous flap for large soft tissue defect of foot in 8 cases, after 6 months to 1.5 years of follow-up, treatment satisfaction, are as follows. 1 Materials and Methods 1.1 Clinical data of the group of 6 males and 2 females, aged 18 to 54 years. Cause: traffic accident in 5 cases, the machine strangulation injury in 2 cases, 1 case of crush injury. Instep repair in 3 cases, 2 cases of foot, 2 cases of combined dorsal lateral plantar, medial plantar combined dorsal in 1. All patients had varying degrees of bone, tendons and other tissues are exposed and the skin defect area 23 cm 10 cm ~ 26 cm 14 cm. cut flap of the smallest 25 cm 11 cm, maximum 28 cm 13 cm, are used for elective repair. 1.2 Surgical Methods of epidural anesthesia, the tourniquet to remove scar tissue around the wound granulation and strict debridement, skin defect by cutting the scope to adjust the size of the flap, flap of the cut should be higher than 15% by the District to enlarge 20%. flap to fossa to the midpoint of the midpoint of the Achilles tendon and the lateral axis line