Application of"pickaxe"pattern peroneal nerve nutrient vascular flap in the repair of traumatic soft tissue defects of the calcaneus
Objective To investigate the clinical efficacy of using a"pickaxe"pattern peroneal nerve nutrient vascular flap in the repair of traumatic soft tissue defects of the calcaneus.Methods From January 2018 to June 2023,Department of Plastic Surgery,Gansu Provincial Hospital admitted 18 patients with traumatic soft tissue defects of the calcaneus admitted.According to the shape of the wound,a"pickaxe"pattern peroneal nerve nutrient vascular flap was designed at a point 6cm above the midpoint of the line connecting the ankle and Achilles tendon to perform reverse repair of the soft tissue defect and reconstruction of the heel.Results All flaps survived completely.After a follow-up of 6～12 months,the weight-bearing walking and wear resistance of the heel were fully restored to meet the patients daily life needs.Conclusion The"pickaxe"pattern peroneal nerve nutrient vascular flap can be individualized designed based on the shape of the soft tissue defect of the calcaneus after trauma,achieving the goals of wound repair,reconstruction,and restoration of heel function.
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