Retrograde sural neurovascular flap to repair tissue defects of the lower leg applications.doc

 PAGE \* MERGEFORMAT 7 Retrograde sural neurovascular flap to repair tissue defects of the lower leg applications Of: Qiu Fukui Liao Wenlun ZHU Li-juan [Abstract] Objective: To study the retrograde sural neurovascular flap to repair tissue defects of the lower leg application and effect. Methods: The lateral point on the 5-7cm at the pivot point for the flap to the lateral malleolus and the midpoint of the Achilles tendon popliteal fossa with the connection between the midpoint of the axis, by the District to conduct flap lesions, retrograde rotation wound repair, donor site skin grafting. Results: The clinical application of 17 patients, flap survived completely, wound healing good. follow-up 3-6 months without any complications, flap the appearance of satisfaction, the patient walk normally. Conclusion: The retrograde sural neurovascular flap to repair tissue defects of the lower leg satisfactory outcome. [Keywords:] sural nerve flap, lower leg, defect July 2005 to July 2009, we used retrograde sural neurovascular flap to repair tissue defects of the lower leg in 17 cases, results were satisfactory. 1 Clinical data A total of 17 patients in this group, 13 males and 4 females, aged 17-65 years. The causes of injury: traffic accident in 6 cases crushed exhaust pipe heat in 4 cases, 4 cases of accidental falls, burns in 3 cases. Repair parts : leg 1 / 3 to the level of the ankle joint, skin defect area 5 4cm-6 7cm size. 2 surgical methods 2.1 Preoperative treatment: on hypertension, diabetes patients to antihypertensive drugs, insulin to control blood pressure, blood sugar. As a serious wound infection, necrotic tissue coverage can be divided into two operations, the first surgical debridement, after debridement by 3 - 5 days medication, antibiotics, anti-infective therapy, wound infection control again until the second operation switch flap. 2.2 flap: a lateral tip 5-7cm at the pivot point for the flap to the lat