腓肠内侧动脉穿支游离皮瓣用于小腿、足部和踝关节缺损的重建：一种极佳的选择。
Medial sural artery perforator free flap for the reconstruction of leg, foot and ankle defect: an excellent option.
作者信息
Balan Jyoshid R
机构信息
Department of Plastic Surgery, Sushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, India.
出版信息
ANZ J Surg. 2018 Mar;88(3):E132-E136. doi: 10.1111/ans.14050. Epub 2017 May 16.
BACKGROUND
The defects over the leg, foot and ankle are best covered with a thin pliable flap. The use of muscle flap for the reconstruction of these defects leaves a grafted, aesthetically inferior result. The medial sural artery perforator (MSAP) free flap gives a thin pliable tissue for the reconstruction with better aesthesis.
METHODS
The study design was retrospective case analysis over a period of 2 years. All the patients who underwent flap for leg, foot and ankle defect reconstruction in the form of MSAP free flap were included in the study. The flap characteristics and aesthesis were assessed along with the patient satisfaction. The flap complication and donor site morbidity were also analysed.
RESULTS
A total of seven MSAP free flaps were done for leg, foot and ankle reconstruction. The mean flap size was 14.29 × 6.6 cm and mean pedicle length was 9.71 cm. One flap had venous congestion post-operatively resulting in marginal flap loss. All the flaps had acceptable aesthesis with good patient satisfaction. There was donor site morbidity in two patients, in the form of wound dehiscence.
CONCLUSION
MSAP free flap is a reliable choice for leg, foot and ankle defect reconstruction.
背景
小腿、足部和踝关节的缺损最好用薄而柔韧的皮瓣覆盖。使用肌皮瓣修复这些缺损会留下移植痕迹，美观效果较差。腓肠内侧动脉穿支（MSAP）游离皮瓣可为修复提供薄而柔韧的组织，美观效果更好。
方法
本研究设计为为期2年的回顾性病例分析。所有接受以MSAP游离皮瓣形式进行小腿、足部和踝关节缺损修复的患者均纳入本研究。评估皮瓣特征、美观效果以及患者满意度。同时分析皮瓣并发症和供区并发症。
结果
共进行了7例MSAP游离皮瓣用于小腿、足部和踝关节重建。皮瓣平均大小为14.29×6.6厘米，平均蒂长为9.71厘米。1例皮瓣术后出现静脉淤血，导致部分皮瓣坏死。所有皮瓣美观效果均可接受，患者满意度高。2例患者出现供区并发症，表现为伤口裂开。
结论
MSAP游离皮瓣是小腿、足部和踝关节缺损重建的可靠选择。
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