Retrograde sural neurovascular Clinical Application of fasciocutaneous flap.doc

 PAGE \* MERGEFORMAT 9 Retrograde sural neurovascular Clinical Application of fasciocutaneous flap OF: He Shiguo, Su Bao, Tao Rong, Wang, Liu Quan, Li Yan [Abstract] Objective To summarize the retrograde sural neurovascular fascia flap clinical experience. Methods From 2003 to 2007 10 cases of clinical application of retrograde sural neurovascular fascia flap for repairing tissue defects of the lower leg of the clinical data. Results 10 flaps survived safety, the maximum area of #8203;#8203;flap up to 25cm × 12cm, the minimum area of #8203;#8203;4cm × 4cm, fixes the leg, inside and outside the ankle, heel, foot back wounds. surgical safety of large, excellent effect. Conclusion retrograde sural neurovascular flap, surgery design, simple operation, easy to cut, without sacrificing the main leg artery, no vascular anastomosis, and the flap survival rate. [Keywords:] sural nerve, with neurovascular pedicle flap, soft tissue defects In the lower leg, foot and Achilles tendon in their daily lives vulnerable to external damage, and thin soft tissue in the region, poor blood supply, some organizations covered directly by the skin, can easily lead to post-traumatic exposed bone or tendon, the wound is difficult to healing, exposed tissue susceptible to treatment with certain difficulties. We September 2003 to December 2007 retrograde sural neurovascular flap to repair fascia, were applied in 10 cases, good results are summarized as follows . 1 Materials and Methods 1.1 General information treated 10 patients, male 9 and 1 female, aged 18 to 50 years old. Tissue defect site: Achilles tendon at the 1 case, feet back in 2 cases, the ankle joint in 3 cases, the calf in the lower anterior tibial soft tissue defect of 4 cases. flap area of #8203;#8203;4cm × 4cm to 25cm × 12cm size, were cut ipsilateral retrograde flaps reverse the angle between 80 ° ~ 120 °. all for elective surgery. 1.2 Procedures 1.2.1 impaired wound debridement and elimination of n