浅静脉吻合螺旋桨皮瓣修复老年足踝部软组织缺损的疗效观察
Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects.
作者信息
Chen Guangmou, Liao Zhidong, Ruan Guoqiang, Chen Huirun, Lv Guihe, Cai Jiashang, Chen Jin, Liang Bo
机构信息
Department of Orthopaedics, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Department of Orthopaedics, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, China.
出版信息
Front Surg. 2025 Jul 18;12:1629340. doi: 10.3389/fsurg.2025.1629340. eCollection 2025.
BACKGROUND
This study aimed to evaluate the efficacy of superficial vein anastomoses spiral propeller flaps in improving venous return and reducing postoperative complications for elderly patients with foot and ankle soft tissue defects.
METHODS
A prospective study involving 15 elderly patients (65-90 years) underwent spiral propeller flap repair between 2020 and 2021. Flap perfusion, swelling, venous patency (Doppler ultrasound), and ankle function (AOFAS score) were assessed.
RESULTS
All flaps survived, with 2 cases of distal superficial necrosis healing after dressing. Postoperative swelling improved from Grade II ( = 10) to Grade I ( = 13) at 6 months. AOFAS scores showed 86.7% excellent/good outcomes.
CONCLUSION
Venous anastomosis in spiral propeller flaps significantly enhances flap survival and functional recovery in elderly patients with comorbidities.
背景
本研究旨在评估浅静脉吻合螺旋桨皮瓣在改善老年足踝部软组织缺损患者静脉回流及减少术后并发症方面的疗效。
方法
一项前瞻性研究，纳入了2020年至2021年间接受螺旋桨皮瓣修复的15例老年患者（65 - 90岁）。评估皮瓣灌注、肿胀情况、静脉通畅度（多普勒超声）及踝关节功能（美国矫形足踝协会评分）。
结果
所有皮瓣均存活，2例远端浅部坏死经换药后愈合。术后6个月时，肿胀程度从Ⅱ级（n = 10）改善至Ⅰ级（n = 13）。美国矫形足踝协会评分显示86.7%的患者预后为优/良。
结论
螺旋桨皮瓣静脉吻合术可显著提高合并症老年患者皮瓣的存活率及功能恢复情况。
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