Li J, Xu Y, Xu X
[Reversed sural neurovascular fascio-cutaneous flap for reconstruction of soft-tissue defects in ankle and foot] [Journal Article]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2004 May; 18(3):189-91.
OBJECTIVE: To evaluate clinical significance of reversed sural neurovascular fascio-cutaneous flap for reconstruction of soft-tissue defects in ankle and foot.
METHODS: From July 1994 to December 2002, 52 cases of soft-tissue defects in the ankle and foot were reconstructed by use of reversed sural neurovascular fascio-cutaneous flap, including 47 cases of traumatic defects, 3 cases of chronic ulcer and 2 cases of tumors. The flap area ranged from 4 cm x 6 cm to 10 cm x 21 cm.
RESULTS: The flaps survived in 48 cases; the distal part necrosed and secondary free-skin graft were further conducted in 4 cases. All soft-tissue defects were repaired and their accompanied bone and tendon exposure healed. Forty-six cases were followed-up for 5 months to 48 months, the color and texture of the flaps were excellent and 2-point discrimination was 11-17 mm (14 mm on average). The functions of ankle joints were good.
CONCLUSION: The reversed sural neurovascular fascio-cutaneous flap is convenient in design and dissection. Its use can retained and replace vascular anostomosed flaps to certain degrees.
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