Ebrahimi Ali, Nejadsarvari Nasrin, Shams Koushki Ehsan
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
Tehran University of Medical Sciences, Imam Khomeini Hospital, Tehran, IR Iran.
Trauma Mon. 2012 Jan;16(4):178-81. doi: 10.5812/kowsar.22517464.3276. Epub 2012 Jan 15.
Coverage of traumatic soft-tissue defects in the lower limb is a common procedure.
The purpose of this prospective case series study was explore the capacity of the perforator-based sural flap in reconstruction surgery of patients with high velocity gunshot wounds in the distal third of the leg and heel pad of the foot.
A prospective case series study was undertaken to assess the sural fasciocutaneous flap carried out in our hospital, from 2010 to 2011. This case series study comprised eight patients, seven men and one woman with an average age of 35 years (19-55) and with a mean follow-up duration of 13 months (6-24 months). All patients had a history of a gunshot wound in distal part of the leg and heel pad of the foot with large soft-tissue defects; treatment was done using the reverse sural flap.
We performed reverse sural flaps in eight gunshot patients, to cover the defects of the lower leg and foot. Surgical site infection observed in one patient (12.5%) was treated successfully with antibiotic therapy. The reverse sural flap provided a satisfactory coverage for gunshot defects in all the patients.
Reverse sural flap is a useful and versatile reconstructive method in patients with gunshot wounds of the lower leg and foot.
下肢创伤性软组织缺损的覆盖是一种常见的手术。
本前瞻性病例系列研究的目的是探讨基于穿支的腓肠神经营营皮瓣在小腿远端三分之一和足底足跟垫高速枪伤患者重建手术中的应用能力。
进行了一项前瞻性病例系列研究，以评估2010年至2011年在我院进行的腓肠神经营营皮瓣手术。该病例系列研究包括8例患者，7例男性和1例女性，平均年龄35岁（19 - 55岁），平均随访时间13个月（6 - 24个月）。所有患者均有小腿远端和足底足跟垫枪伤史，伴有大面积软组织缺损；采用逆行腓肠神经营营皮瓣进行治疗。
我们对8例枪伤患者进行了逆行腓肠神经营营皮瓣手术，以覆盖小腿和足部的缺损。1例患者（12.5%）出现手术部位感染，经抗生素治疗成功治愈。逆行腓肠神经营营皮瓣为所有患者的枪伤缺损提供了满意的覆盖。
逆行腓肠神经营营皮瓣是小腿和足部枪伤患者一种有用且通用的重建方法。
