Objective To discuss the surgical method and postoperative effect of fasciocutaneous turnover flap in repair of traumatic defects with exposed bone in crus.Methods A total of 12 patients with open tibiofibular fractures with exposed bone caused by trauma admitted to the author's hospital from January 2020 to December 2021 were selected.Proper fasciocutaneous flaps were precisely designed according to the size and location of the wounds.The reconstructive surgery was completed by a 180° turnover flap with skin transplantation.Assessment was made by the patient's treatment effect and postoperative follow-up.Results 11 cases of turnover flaps survived completely.In 1 patient,a small amount of bone bared due to the distal retraction of the flap,and the wound was reconstructed by a symmetric turnover flap.The follow-up period ranged from 6 to 12 months and showed a desirable appearance and function of the lower extremities.Conclusion Application of fasciocutaneous turnover flap in repairing traumatic defects with exposed bone in lower legs can achieve the ideal appearance and function recovery.It has the characteristics of flexible design,simple operation,and high utilization of the donor flap,which can be used as a reliable early repair method after calf trauma in clinical practice.
关键词
翻转筋膜瓣/带真皮的筋膜瓣/小腿外伤/骨裸露/创面修复
Key words
turnover flap/fasciocutaneous flap/lower leg trauma/exposed bone/wound repair
维普
万方数据