Application of chimeric anterolateral thigh perforator flap with muscle flap in the treatment of high-voltage electric burns on the wrist
Objective To investigate the effectiveness of using the chimeric anterolateral thigh perforator flap with muscle flap for repairing high-voltage electric burns on the wrist.Method A retrospective observational study was conducted on 45 male patients(aged 20-61years)with high-voltage(10-100kV)electric burns on the wrist,who were admitted to Beijing Jishuitan Hospital,Capital Medical University from January 2016 to April 2023.In the early stage after injury,patients underwent open reduction and internal fixation procedures on the wrist,followed by thorough debridement 2-7 days after injury.A chimeric anterolateral thigh perforator flap with muscle flap carrying either the anterolateral thigh muscle or the rectus femoris muscle was used for the free transplantation to repair the wound on the wrist.The flap size ranges from 15 cm×8 cm to 24 cm×11 cm,and the muscle flap size ranges from 5 cm×3 cm×2 cm to 7 cm×4 cm×3 cm.Direct approximation and suturing were performed on the donor site.Postoperatively,the survival of the flap,wound healing of the flap,and the donor site were observed.During follow-up,the appearance of the flap in the recipient area,the recovery of hand function,and the healing of the donor site were observed.Result After the operation,all 45 patients had successful survival of the chimeric anterolateral thigh perforator flap with muscle flap,with primary wound healing for both the flap and the donor site.During a follow-up period of 5 to 12 months,the texture and color of the flap on the wrist remained good,without swelling,and the donor site showed linear scars.Finger flexion function recovered well.Conclusion Early open reduction and internal fixation,thorough debridement,and free transplantation of the chimeric anterolateral thigh perforator flap with muscle flap effectively repaired type Ⅱ high-voltage electric burns on the wrist, providing good results.
Electric burnsChimeric anterolateral thigh perforator flapMicrosurgeryWrist
万方数据
维普
