应用逆行腓肠神经营养血管筋膜皮瓣修复足踝部软组织缺损
Soft tissue reconstruction of foot and ankle defects with reverse sural fasciocutaneous flaps.
作者信息
Turan Kaya, Tahta Mesut, Bulut Tuğrul, Akgün Ulaş, Sener Muhittin
机构信息
Department of Orthopaedics and Traumatology, Uzunkopru State Hospital, Edirne, Turkey.
Department of Orthopaedics and Traumatology, Izmir Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey.
出版信息
Rev Bras Ortop. 2017 May 13;53(3):319-322. doi: 10.1016/j.rboe.2017.05.002. eCollection 2018 May-Jun.
OBJECTIVE
This study presents the results of 25 consecutive patients and evaluates the success of reverse sural fasciocuteneous flap (RSFF) on coverage of the foot and ankle region.
METHODS
A total of 25 patients with soft tissue defects in the lower leg, foot, or ankle were treated with RSFF, from January 2010 to January 2017. In the evaluation of patients, the form prepared by the clinic was used and the following data were collected: age, follow-up, gender, etiology, defect size, complications, and patient satisfaction rates.
RESULTS
Mean follow up time was 18 months. In all patients, the defects were fully covered. Three patients developed partial necrosis due to venous congestion. There was no complete flap loss in any of the patients. Patient satisfaction was excellent in all cases.
CONCLUSION
RSFF is quick, versatile, and easy to apply; it also provides safe soft tissue coverage, requires no microvascular repair, and provides an alternative to microsurgical reconstruction.
目的
本研究展示了连续25例患者的治疗结果，并评估逆行腓肠神经营养血管筋膜皮瓣（RSFF）覆盖足踝区域的成功率。
方法
2010年1月至2017年1月，共有25例小腿、足部或踝部软组织缺损患者接受了RSFF治疗。在对患者的评估中，使用了临床准备的表格，并收集了以下数据：年龄、随访情况、性别、病因、缺损大小、并发症及患者满意率。
结果
平均随访时间为18个月。所有患者的缺损均得到完全覆盖。3例患者因静脉淤血出现部分坏死。所有患者均未出现皮瓣完全坏死。所有病例患者满意度均为优秀。
结论
RSFF操作迅速、用途广泛且易于应用；它还能提供安全的软组织覆盖，无需微血管修复，是显微外科重建的一种替代方法。
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