The Journal of Practical Medicine >
Curative effect of pedicled retrograde posterior leg myocutaneous flap in patients with ankle soft tissue defect and its influence on sensory function
Received date: 2023-07-12
Online published: 2023-12-19
Objective To explore the curative effect of pedicled retrograde posterior leg myocutaneous flap in patients with ankle soft tissue defect， and analyze its related factors on patients' sensory function. Methods The data of 120 patients with ankle soft tissue defect who were treated in our hospital from January 2015 to January 2022 and followed up for one year after operation were selected. Among them， 60 cases were repaired with pedicled posterior leg myocutaneous flap （group A）， 40 were repaired with medial foot flap （group B） and 40 were repaired with ankle epithelial flap （group C）. The healing （flap survival， infection， appearance， texture）， sensory function， appearance satisfaction， Baird-Jackson score and complications of patients with ankle soft tissue defect in each group were compared. Results There was no difference in baseline data among the groups （P > 0.05）. Patients with ankle soft tissue defect in each group were observed for one year after flap repair. The survival rate of flap in group A was higher than that in group B and C， and the difference was statistically significant （P < 0.05）. There was no significant difference in infection， appearance， texture and walking function among the groups （P > 0.05）. After flap repair， the sensory function score of group A was better than that of group B and C， and the difference was statistically significant （P < 0.05）. The appearance satisfaction of group A was higher than that of group B and C， showing statistical significance （P < 0.05）. There was no difference in complications after flap repair in each group （P > 0.05）. Conclusion Skin flap should be chosen according to the area， shape and characteristics of the skin flap for patients with ankle soft tissue defect， and pedicled retrograde posterior leg myocutaneous flap has better curative effect， higher survival rate and higher excellent and good rate of ankle function. It is more helpful for limb function recovery of patients with ankle soft tissue defect.
Yuguo XIE , Zhiling FAN , Quanbao GUO , Qinghu ZENG . Curative effect of pedicled retrograde posterior leg myocutaneous flap in patients with ankle soft tissue defect and its influence on sensory function[J]. The Journal of Practical Medicine, 2023 , 39(21) : 2817 -2821 . DOI: 10.3969/j.issn.1006-5725.2023.21.021
| 1 | RSAB C，SS C， Rl D，et al. Osteonecrosis and osteomyelitis of the jaw associated with tumour necrosis factor-alpha （TNF-α） inhibitors：a systematic review［J］. Bri J Max Surg，2020，58（1）：25-33. |
| 2 | 杨聪林. 削薄股前外侧穿支皮瓣在足踝部软组织重建中的疗效［J］. 创伤外科杂志，2019，21（6）：477-478. |
| 3 | GRIFFIN B R， FREAR C C， BABL F，et al. Cool Running Water First Aid Decreases Skin Grafting Requirements in Pediatric Burns： A Cohort Study of Two Thousand Four Hundred Ninety-five Children［J］. Ann Emerg Med，2020，75（1）：75-85. |
| 4 | YAO L， DENG Z， GUO M，et al. Repair of Donor Site Defects After Forearm Free Flap Harvest with Dual Triangular Flaps and in Situ Small Full-thickness Skin Flaps［J］. J Craniofac Surg，2021，32，（5）：1853-1855. |
| 5 | OU Q， WU P， PAN D，et al. Combined transfer by several perforator skin flaps to cover an extensive and multiplanar wound on the foot and ankle［J］. J Plast Reconstr Aesthet Surg，2022，75（10）：3751-3760. |
| 6 | DU S， WEI S， ZHANG H，et al. Comparison of “complications” and functional outcome of anterolateral thigh flap and sural neurofasciocutaneus flap for foot and ankle reconstruction：A single center cohort study［J］. Injury，2022，53（11）：3843-3848. |
| 7 | 张明珠，俞光荣. 36条目简明量表在足踝外科疾病诊治中的应用［J］. 中国矫形外科杂志，2008，16（21）：1656-1659. |
| 8 | RAJ S K， TRIOZZI P， STALEY S，et al. Hyperthermia combined with nanoparticles to enhance cytotoxic effects of fresh human soft tissue sarcoma［J］. J Clin Oncol，2020，38（15）：e23570. |
| 9 | BARBAGLI G， JOSHI P M， KULKARN S B，et al. Penile urethroplasty using Orandi's dorsal skin flap：a new technique［J］. Bju Int，2019，124（5）892-896. |
| 10 | CANESSA C E， CAL F B， VIGLIONE N B，et al. Transpelvic Oblique Rectus Abdominis Myocutaneous Flap With Preservation of the Rectus Sheath［J］. Dis Colon Rectum，2020，63（9）：1328-1333. |
| 11 | 谭慎兴，卢小生，曹哲，等. 小腿外侧肌皮穿支皮瓣修复足踝部软组织缺损的临床疗效［J］. 中华医学美学美容杂志，2020，26（4）：335-337. |
| 12 | PRIYA T， CHEW K Y， TAN B K，et al. Anatomical Study of the Medialis Pedis Flap and its clinical applications in Asian Singaporean Patients［J］. Injury，2021，52（10）：3124-3131. |
| 13 | 仓正强，倪小冬，王慜，等. 足底内侧皮瓣在踝周软组织缺损修复中的应用［J］. 组织工程与重建外科杂志，2019，15（1）：29-31. |
| 14 | ZAVALA K J， KUO C H， LIN T S. Functional Evaluation of Ankle Joint After 1-Stage Secondary Debulking Procedure After Flap Reconstruction［J］. Ann Plas Surg，2021，87（3）：331-336. |
| 15 | MURANYI M， VARGA D， KISS Z，et al. A New Modified Bipedicle Scrotal Skin Flap Technique for the Reconstruction of Penile Skin in Patients with Paraffin-Induced Sclerosing Lipogranuloma of the Penis［J］. J Urol，2022，208（1）：171-178. |
| 16 | JPD A，BC B，WJD A，et al. Effect of bone marrow mesenchymal stem cells on perforator skin flap survival area in rats - ScienceDirect［J］. Bri J Oral Max Surg，2020，58（6）：669-674. |
| 17 | WANG Q， HOU S， WANG T，et al. Transplantation of Adipose-Derived Stem Cells Before Flap Expansion and After Expanded Flap Elevation Result in Different Effects［J］. Ann Plas Surg，2019，82（2）：237-244. |
| 18 | ZHENG J， LIAO H， LI J，et al. Double-pedicle propeller flap for reconstruction of the foot and ankle： anatomical study and clinical applications［J］. J Int Med Res，2019，47（10）：4775-4786. |
| 19 | KOSTOPOULOS E， KONOFAOS P， MITCHEL M，et al. The Bridged Digital Artery Perforator Flap as an Alternative Reconstructive Option for Dorsal Digital or Toe Soft Tissue Defects［J］.Ann Plast Surg，2022，88（5）：507-512. |
/
| 〈 |
|
〉 |