Saint George University Hospital, Beirut, Lebanon.
Foot Ankle Surg. 2008;14(2):82-8. doi: 10.1016/j.fas.2007.11.003. Epub 2008 Jan 3.
We have previously reported on the efficacy of free-tissue transfer in ankle and foot reconstruction with a mean follow-up period of 3.7 years (9 months-7.5 years) postoperatively. This study will evaluate the long-term results of free-tissue transfer performed for soft tissue defect coverage, diabetic foot salvage and the treatment of chronic osteomyelitis in 38 patients.
The long-term efficacy of free-tissue transfer for foot and ankle reconstruction was evaluated in a retrospective study among patients operated during a period of 5 years (January 1992-December 1996); 38 were available for follow-up. Indications for reconstruction included acute wounds with soft tissue defects, diabetic foot ulcers, and chronic osteomyelitis.
At a mean follow-up of 12 years, there were no major complications in the soft tissue defect group. Among the diabetic patients, two patients had recurrent ulcerations of the forefoot which were detected early and treated conservatively. In the osteomyelitis group, however, there were no recurrences of the foot infection.
The free-tissue transfer provided an excellent method of soft tissue reconstruction with a very minimal long-term complication rate, and a very high rate of success in the treatment of diabetic foot ulcers and chronic osteomyelitis.
我们之前报道过游离组织移植在踝关节和足部重建中的疗效，平均随访时间为术后 3.7 年（9 个月至 7.5 年）。本研究将评估 38 例患者因软组织缺损覆盖、糖尿病足保肢和慢性骨髓炎治疗而进行游离组织移植的长期结果。
在一项回顾性研究中，对 5 年内（1992 年 1 月至 1996 年 12 月）接受手术的患者的游离组织移植足部和踝关节重建的长期疗效进行评估；38 例患者可进行随访。重建的指征包括急性伴有软组织缺损的创伤、糖尿病足溃疡和慢性骨髓炎。
平均随访 12 年，软组织缺损组无重大并发症。在糖尿病患者中，2 例前足复发性溃疡，早期发现并保守治疗。然而，在骨髓炎组中，足部感染无复发。
游离组织移植为软组织重建提供了一种极好的方法，其长期并发症发生率非常低，治疗糖尿病足溃疡和慢性骨髓炎的成功率非常高。
