Jose Joyal, Parameswaran Sabu C, Rajappan Aniraj, Prameela Lisha N
Department of Plastic and Reconstructive Surgery, Government Medical College, Thiruvananthapuram, IND.
Cureus. 2022 Jun 25;14(6):e26329. doi: 10.7759/cureus.26329. eCollection 2022 Jun.
This study aimed to evaluate the surgical outcomes of distally based peroneus brevis muscle flap in post-traumatic lower leg defects.
This is a retrospective analysis conducted from February 2017 to May 2019 including six patients who had sustained post-traumatic lower leg critical soft tissue defects and were treated with distally based peroneus brevis muscle flap and primary skin grafting.
In five cases, the flap was successful in providing excellent soft tissue cover to the defects addressed. Partial flap loss was seen in one patient. Skin graft partial loss was seen in three of the six patients. There was no significant donor site morbidity.
The distally based peroneus brevis muscle flap is a safe, easy, and reliable flap option for coverage of lower leg defects. The muscle flap also thins with time to provide a good aesthetic outcome.
本研究旨在评估以远端为蒂的腓骨短肌肌瓣修复创伤后小腿缺损的手术效果。
这是一项回顾性分析,时间跨度为2017年2月至2019年5月,纳入6例创伤后小腿严重软组织缺损患者,采用以远端为蒂的腓骨短肌肌瓣并一期植皮治疗。
5例中,肌瓣成功为所处理的缺损提供了良好的软组织覆盖。1例患者出现部分肌瓣坏死。6例患者中有3例出现植皮部分坏死。供区无明显并发症。
以远端为蒂的腓骨短肌肌瓣是修复小腿缺损安全、简便且可靠的肌瓣选择。随着时间推移,肌瓣会变薄,外观效果良好。