Panagakos Panagiotis, McDonald Patrick, Norem Nathan, Shapiro Howard, Boc Steven F, Mitra Amit
Associate, Princeton Foot and Ankle Associates, PC, Princeton, NJ.
Associate, Mountain Valley Orthopedics, PC, East Stroudsburg, PA.
J Foot Ankle Surg. 2014 Jan-Feb;53(1):83-7. doi: 10.1053/j.jfas.2013.03.002. Epub 2013 Jul 31.
Recurrent ulcerations of the foot and ankle almost always present a challenge to lower extremity surgeons. Recalcitrant heel ulcerations with osteomyelitis are especially difficult to treat because of the lack of soft tissue coverage. The turnover flap is a simple, fast, and effective treatment method for lower extremity wounds. It is a de-epithelialized fasciocutaneous flap harvested from the adjacent area of the wound. We believe it is an underused technique for advanced wound closure in the lower extremity. It offers several advantages compared with traditional, more difficult to perform, flaps. We have seen an excellent result 18 months after using the turnover flap in a patient with recurrent posterior heel ulceration with calcaneal osteomyelitis.
足部和踝关节的复发性溃疡几乎总是给下肢外科医生带来挑战。伴有骨髓炎的顽固性足跟溃疡由于缺乏软组织覆盖，治疗起来尤其困难。翻转皮瓣是一种用于治疗下肢伤口的简单、快速且有效的方法。它是一种从伤口相邻区域切取的去上皮化筋膜皮瓣。我们认为，在下肢伤口的高级闭合中，这是一种未得到充分利用的技术。与传统的、操作难度更大的皮瓣相比，它具有多个优点。我们曾在一名患有复发性足跟后溃疡伴跟骨骨髓炎的患者中使用翻转皮瓣，18个月后取得了极佳的效果。
