Sural neurovascular island flap to repair the skin defect of medial malleolus
Objective To investigate the effect of repair of reversed island flap pedicled with nutrient vessels of sural nerve in treatment of medial malleolus skin defects. Methods Chosed 36 patients with skin defect from February 2012 to February 2013 in our hospital, with the families and the patients agreed and signed the informed consent, 36 patients were divided into observation group(18 cases) and control group(18 cases), observation group with repair underwent sural neurocutaneous island flap, control group with adjacent flap repair, compared postoperative flap survival in two groups. Results The survival rate of observation group was significantly higher than control group, the necrosis rate was significantly lower than control group(P <0.05);the average time to get out of bed in control group, the average hospitalization time was lower than observation group(P <0.05). Conclusion Repair of reversed island flap pedicled with nutrient vessels of sural nerve by patients with medial malleolusskin defect, can obtain good effect, postoperative necrosis through timely symptomatic treatment can effectively cure.
Sural nerveNutrient vesselRepair of the medialretrograde island flapSkin defect