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- 胡稷杰副主任医师 博士
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医院:
南方医科大学南方医院
科室:
创伤骨科
- 游离穿支皮瓣修复足踝软组织缺损
- 作者:胡稷杰|发布时间:2012-07-29|浏览量:579次
两种游离穿支皮瓣修复足踝部软组织缺损
胡稷杰 金丹 赵辉 任高宏 王钢 余斌 黎健伟 梁双武
作者单位及联系方式:510515 广州,南方医科大学南方医院创伤骨科
【摘要】 目的 探讨利用2种不同游离穿支皮瓣修复足踝部软组织缺损的临床最佳适应征。方法 2006年8月至2012年4月, 本研究纳入30例(男性24例,女性6例,年龄3~52岁)足踝部软组织缺损并伴骨外露患者。皮瓣移植术前应用负压封闭引流技术处理, 创面范围6cm×8cm~11cm×23cm。其中,游离胸脐穿支皮瓣修复12例,游离股前外侧穿支皮瓣修复18例。结果 术后30例皮瓣全部成活。术后随访3~60个月, 平均(18.0+0.8)个月。皮瓣修复后外形大部满意, 皮瓣末梢二点分辨觉为10~22 mm,皮瓣术后12月左右恢复S2以上感觉百分比分别达58.3%、68.8%。结论 足踝部软组织缺损的游离皮瓣选择以股前外穿支皮瓣较合适。避免二次手术整形,重视皮瓣供区处理。负压封闭引流技术对皮瓣成活有明显促进作用。南方医科大学南方医院创伤骨科胡稷杰
【关键词】 穿支皮瓣;足踝;软组织缺损;负压封闭引流
Repair of ankle soft tissue defect with two different free perforator flaps
Hu Ji-jie, Jin dan, Zhao hui, et al.
Department of Orthopaedics and Traumatology, Nanfang Hospital, Nanfang Medical University, Guangzhou, 510515, China
[Abstract]:Objective: The aim of thie study is to evaluate the surgical technique and clinical significance of the therapy for ankle soft tissue defect with 2 different free perforator flaps. Methods:30 cases of ankle soft tissue defect with exposed bone of the ankle were involved in this study between August 2006 and April 2012(24 male, 6 female, aged from 3~52 years). the wounds were covered by vacuum sealing drainage VSD before free perforator flap transplantations were performed, and the wound sizes varied from 6cm×8cm~11cm×23cm. 12 cases were repaired by free perforator thoraco-umbilical flap; 18 cases were repaired by free perforator anterolateral thigh flap. Results: All 30 flaps survived. At 3 to 60 months follow-up (on an average of 18.0+0.8 months) postoperatively, appearance of the flaps was satisfactory, with 10 to 22 mm in 2-PD, and the sensation percentage beyond S2 was 58.3%、68.8%. Conclusion: The optimal therapy for the ankle soft tissue defect is the free perforator anterolateral thigh flap o. Avoid secondary orthopaedic surgery, pay more attention to the donor site of the flap. VSD can significantly promoting the survival rates of the free perforator flaps.
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[Key words]: perforator flap; ankle; soft tissue defect; vacuum sealing drainage