Ou Chang-Liang, Zou Yong-Gen, Luo Cheng, Zhou Xing, Luo Xu-Chao
Department of Orthopaedic Hand Surgery, the Second Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan, China.
Department of Orthopaedic Hand Surgery, the Second Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan, China;
Zhongguo Gu Shang. 2018 Jul 25;31(7):666-670. doi: 10.3969/j.issn.1003-0034.2018.07.015.
To investigate clinical effect of vacuum sealing drainage(VSD) with anterolateral thigh perforator flap for repair foot soft tissue defect.
From September 2014 to September 2016, 45 patients with foot soft tissue defect repaired by VSD with anterolateral thigh perforator flap, including 31 males and 14 females aged from 17 to 55 years with an average of 36 years old. Thirty patients were dorsal soft tissue defects, and 15 patients were plantar soft tissue defects. Sizes of soft tissue defect ranged from 7 cm×10 cm to 11 cm×18 cm, the wound was contaminated seriously and assisted with deep soft tissue exposure. Emergency surgical wound debridement with VSD treatment were performed, and wound surface was cleaned after 5 to 7 days, free anterolateral thigh flap were repaired. Sizes of flap ranged from 9 cm×12 cm to 13 cm×21 cm. Appropriate method was used to repair flap donor area.
All 45 free propeller flap were survived without skin edge necrosis, ulcerative infection. Forty patients were followed up from 3 to 24 months with an average of 13 months. Flap showed good color, beautiful appearance, good elasticity, soft texture, but without obvious bloated, the wood of leg healed well.
VSD with anterolateral thigh perforator flap for repair foot soft tissue defect could effective control wound soft tissue infection, receive reliable flap blood supply and skin flap could repaired at stage I. It is an effective method for repairing foot soft tissue defects.
探讨负压封闭引流（VSD）联合股前外侧穿支皮瓣修复足部软组织缺损的临床效果。
2014年9月至2016年9月，45例足部软组织缺损患者采用VSD联合股前外侧穿支皮瓣修复，其中男31例，女14例，年龄17～55岁，平均36岁。其中30例为足背软组织缺损，15例为足底软组织缺损。软组织缺损面积7 cm×10 cm～11 cm×18 cm，创面污染严重且伴有深部软组织外露。先行急诊手术创面清创并行VSD治疗，5～7 d后创面清洁，行游离股前外侧皮瓣修复。皮瓣面积9 cm×12 cm～13 cm×21 cm。采用合适方法修复皮瓣供区。
45例游离推进皮瓣全部成活，无皮缘坏死、溃疡感染。40例获随访3～24个月，平均13个月。皮瓣色泽良好，外形美观，弹性好，质地柔软，无明显臃肿，供区愈合良好。
VSD联合股前外侧穿支皮瓣修复足部软组织缺损能有效控制创面软组织感染，皮瓣血供可靠，可一期修复创面，是修复足部软组织缺损的有效方法。
