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• W3169968373 abstract "To investigate clinical application of the free peroneal artery perforator flap in soft tissue defect of foot and ankle.The clinical data of 18 patients with soft tissue defects of foot and ankle who were repaired with free peroneal artery perforator flaps between March 2019 and March 2020 were retrospectively analyzed. Among them, there were 11 males and 7 females; the age ranged from 21 to 58 years, with an average age of 45 years. The defect was located in the ankle in 2 cases, in the hindfoot in 4 cases, in the midfoot in 5 cases, and in the forefoot in 7 cases. The causes of injury included 11 cases of traffic accident, 4 cases of machine injuries, 3 cases of infection and necrosis after internal fixation. The time from injury to flap repair was 12-48 days, with an average of 24 days. The range of wound was 3 cm×3 cm to 15 cm×8 cm, and the range of skin flap was 4 cm×3 cm to 16 cm×9 cm. The flap harvesting time, operation time, intraoperative blood loss, and complications were recorded; the flap survival and patient satisfaction were observed during follow-up; and the American Orthopaedic Foot and Ankle Society (AOFAS) foot function score was used to evaluate the foot function.The flap harvesting time was 15-33 minutes (mean, 22 minutes); the operation time was 120-160 minutes (mean, 150 minutes); the intraoperative blood loss was 90-180 mL (mean, 120 mL). There were 3 cases of vascular crisis after operation, including 2 cases of arterial crisis, which survived after vascular exploration and vein graft repair; 1 case of venous crisis, partial necrosis of the skin flap, and skin grafting to cover the wound after repeated debridement. The remaining 15 skin flaps survived completely. All patients were followed up 6 months. The skin flaps were in good shape without obvious bloat. According to the AOFAS foot function score, 5 cases were excellent, 10 cases were good, and 3 cases were fair. The excellent and good rate was 83.3%.The free peroneal artery perforator flap is easy to harvest, the shape and size of the flap are easy to design, and it does not damage the main blood vessels of the limb. The appearance and function of the limbs are satisfactory after operation. It can be widely used in the repair of soft tissue defects of the foot and ankle.探讨游离腓动脉穿支皮瓣修复足踝部软组织缺损疗效。.回顾分析 2019 年 3 月—2020 年 3 月采用游离腓动脉穿支皮瓣修复的 18 例足踝部软组织缺损患者临床资料。其中男 11 例，女 7 例；年龄 21～58 岁，平均 45 岁。缺损部位：踝部 2 例，后足 4 例，中足 5 例，前足 7 例。致伤原因：交通事故伤 11 例，机器伤 4 例，内固定术后感染坏死 3 例。受伤至皮瓣修复手术时间为 12～48 d，平均 24 d。创面缺损范围为 3 cm×3 cm～15 cm×8 cm，皮瓣范围为 4 cm×3 cm～16 cm×9 cm。记录患者皮瓣切取时间、手术时间、术中出血量及并发症发生情况等；随访期间观察皮瓣成活情况及患者满意度，采用美国矫形足踝协会（AOFAS）评分标准评价足部功能。.皮瓣切取时间 15～33 min，平均 22 min；手术时间 120～160 min，平均 150 min；术中出血量 90～180 mL，平均 120 mL。术后发生血管危象 3 例，其中动脉危象 2 例，经血管探查、静脉移植桥接修复后成活；静脉危象 1 例，皮瓣部分坏死，经多次清创后植皮覆盖创面。余 15 例皮瓣完全成活。患者均获 6 个月随访，皮瓣外形良好，无明显臃肿；根据 AOFAS 评分标准评价足部功能，获优 5 例、良 10 例、中 3 例，优良率为 83.3%。.游离腓动脉穿支皮瓣易于切取，皮瓣形状及大小易于设计，不损伤肢体主干血管，肢体术后外观及功能可，可广泛应用于足踝部软组织缺损修复。." @default.
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• W3169968373 date "2021-06-15" @default.
• W3169968373 modified "2023-10-18" @default.
• W3169968373 title "[Clinical application of free peroneal artery perforator flap in soft tissue defect of foot and ankle]." @default.
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• W3169968373 doi "https://doi.org/10.7507/1002-1892.202101069" @default.
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