Application of sural nerve nutrient vessel flap with peroneal artery perforator in the wound repair of dorsal foot
Objective To explore the clinical therapeutic effect of sural nerve nutrient vessel flap with peroneal artery perfora-tor in repairing dorsal foot wound.Methods A total of 15 patients with the defects of the dorsal foot wound were selected to undergo the repair surgery of sural nerve nutrient vessel flap with peroneal artery perforator,including 8 males and 7 females,with an average age of(50.40±6.59)years old.The defect area was 3 cm × 5 cm～6 cm × 7 cm.All patients received debridement VSD to cover the wound in the first stage and flap to cover the wound in the second stage.If the suture tension of the donor area of the flap was small,direct suture was selected.All patients were on-site visits,phone calls,WeChat photography,or video follow-up.The appearance,function,donor and recipient area healing and patient satisfaction were followed up regularly.Results All the 15 patients were followed up after the op-eration.One patient had partial epidermal necrosis at the distal end of the flap,and the local scar healed after enhanced dressing change.The follow-up period was 13～22 months,with an average of(16.55±2.60)months.During the follow-up period,the skin flap showed normal color,temperature and capillary reaction,and no abnormalities were found.The skin flap was not bloated,soft in texture,and the walking function of the affected foot was not limited.During the follow-up,12 patients had satisfaction scores above 80 points,2 patients had satisfaction scores between 60 and 80 points,and 1 patient had satisfaction scores below 60 points.Conclusion The repair surgery of sural nerve nutrient vessel flap with peroneal artery perforator can utilize the advantage of the peroneal artery penetrating through the posterior lateral malleolus muscle space and anastomosing with the sural nerve nutrient vessel to form a network.It can make the skin flap survival more reliable and has more ideal blood flow.It is an ideal method to repair the dorsal foot wound defect.
万方数据
维普
