Retrograde sural nerve nutrient vessels of the clinical application of fasciocutaneous flap.doc

 PAGE \* MERGEFORMAT 6 Retrograde sural nerve nutrient vessels of the clinical application of fasciocutaneous flap [Abstract] Objective To study wound healing around the ankle joint. Methods distal pedicled sural neurovascular fascia flap wound. Results 8 patients with satisfactory wound closure. Conclusion sural neurovascular fascia flap operation Simple safety, survival, reliable, suitable for repair around the ankle joint, the small soft tissue defects. [Keywords:] neurovascular fascia flap wound repair Less ankle soft tissue, tissue flexibility is poor, wound vulnerable to infection, difficult to heal. Sural nerve nutrition blood vessel constant fasciocutaneous flap, pedicle length, blood supply, without sacrificing the main vessel, rotating flexible [1], 2003 3 January to June 2005, we use the remote pedicled sural neurovascular fascia flap wound in 8 cases, with satisfactory results, are as follows. 1 Materials and Methods 1.1 General information on the 8 patients, 5 males and 3 females, aged 21 to 62 years, mean 54 years. Soft tissue defect causes: acute trauma in 2 cases, chronic ulcer, 3 cases of skin and soft tissue tumor in 1 case, chronic osteomyelitis 2 cases of soft tissue defects and lower parts of the lower leg ankle soft tissue defect area: 4 cm 10 cm ~ 7 cm 10 cm, are used sural neurovascular pedicle fasciocutaneous flap distal retrograde transfer of wound repair. 1.2 Procedures 1.2.1 flap flap that the axis line of the sural nerve to go southbound, and the Achilles tendon that fossa lateral mid-point of the mid-point connection, retrograde flap of the rotation axis point of the interval of muscle tendons of peroneal artery perforating branches of the issue of membrane area, the lowest lateral perforating branches of the fascia, located in the lateral malleolus on the 6 ~ 8 cm, to here as the point of the flap rotation axis [2], according to defect size, shape design flap, skin defect area than the large valve area 2 cm