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- W2386019266 abstract "Objective To explore the flap selection and operation tricks of flap elevation as well as clinical results of various retrograde neurocutaneous flaps pedicled distal perforating branch blood vessel which were used to reconstruct the soft tissue defects in foot and lower leg region.Methods Twenty-five cases were included in this group with an average age of 61,in which the soft tissue defects were resulted from tumor resection,trauma,infection and burn injuries.The dimension of soft tissue defects ranged from 3.0 cm×3.5 cm to 8.5 cm×9.0 cm in foot and lower leg region.The soft-tissue defects in the lower leg,ankle,heel and lateral side of foot were repaired by sural neurocutaneous flaps based on the distal peroneal perforators in 16 cases.The soft-tissue defects in the medial side of foot were covered by saphenous neurocutaneous flaps based on the distal perforators of posterior tibial artery in 6 cases.The soft-tissue defects located in the anterior-medial side were repaired by superficial peroneal neurocutaneous flaps based on the distal perforators of anterior tibial artery in 3 cases.Results All flaps survived,however,a distal venous congestion occurred in 2 cases and the wound healing was achieved after dressing change.In addition,a wound dehiscence happened after early weight-bearing walk and subsequently treated by a secondary suture.The follow-up duration ranged from 8 months to 5 years.All patients were satisfied with the flap appearance.There was a protective sensibility in all flaps without abrasion or ulceration.The walking pattern was as normal as before.Conclusion It is a reliable approach to reconstruct the soft-tissue defect in lower leg and foot region using neurocutaneous flaps based on distal perforators of peroneal artery,anterior tibial artery and posterior tibial artery,respectively.The advantages include simply procedures,reliable blood supply without sacrificing main arteries.Avoidance of flap tension is the key point for flap survival." @default.
- W2386019266 created "2016-06-24" @default.
- W2386019266 creator A5007251193 @default.
- W2386019266 date "2008-01-01" @default.
- W2386019266 modified "2023-09-24" @default.
- W2386019266 title "The repair of soft tissue defect in lower leg and ankle region using retrograde neurocutaneous flaps pedicled distal perforating branch blood vessel" @default.
- W2386019266 hasPublicationYear "2008" @default.
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