Application and postoperative functional evaluation of free anterolateral thigh flap in the repair of complex soft tissue defects
Objective Exploring the repair effect and postoperative function of using free anterior lateral thigh skin flap in complex soft tissue defect repair,providing reference for clinical repair work.Methods Select patients with complex soft tissue defects of foot trauma admitted to Renhe Orthopedic Hospital in Xuchang from January 2020 to January 2024.Among them,26 patients were treated with free anterior lateral thigh skin flap repair as the observation group,and 26 patients were treated with skin grafting combined with negative pressure drainage repair as the control group.Compare and analyze the repair status,foot function,scar condition,and complications of each group.Results The observation group had shorter hospitalization time,and stage Ⅰ healing time than the control group,and the difference was statistically significant(P＜0.05).The survival rate of skin flaps in the observation group was 100.00％,and the patient satisfaction rate was 96.15％,which was higher than that in the control group,and the difference was statistically significant(P＜0.05).The foot function scores of the observation group patients were higher than those of the control group at 1,2,3,and 4 months after surgery,and the difference was statistically significant(P＜0.05).The scar elasticity,width,color,and flatness scores of the observation group were lower than those of the control group,and the difference was statistically significant(P＜0.05).The incidence of postoperative complications in the observation group was 3.85％,significantly lower than that in the control group 23.08％,and the difference was statistically significant(P＜0.05).Conclusions In this type of foot trauma repair,the use of free anterior lateral thigh skin flap has a higher survival rate,relatively mild scar hyperplasia,and can ensure aesthetic appearance.At the same time,it can reduce the risk of complications,shorten healing time,promote foot function recovery,and achieve more satisfactory repair results.
free anterior lateral thigh flaprepair of complex soft tissue defectspostoperative function
万方数据
维普
