Clinical Application Of Repairing Skin And Soft Tissue Defect In The Foot Back Using Improvement On The External Ankle Perforators Flap

0bjective: Discusses the improvement of external ankle in a flap (withexternal ankle epithelial branch descending design flap) repair back foot skin soft tissuedefects of the clinical effect.Method:From February2010to April2013admitted during the period of32patientswith foot dorsum skin soft tissue defect, respectively adopt improved (8cases) andconventional (24cases) cross leg skin flap transfer, local skin flap or cultivate two skingrafts and the surgical repair after the wound granulation method is summarized.Compare two groups of the average number of preoperative preparation, surgical,surgery time, total length of hospital stay, total hospitalization expenses, limb functionafter surgery for grading, etc.Results:All improvement and traditional operation were successful, no significant complications.Both have the same rate. Improved group average preoperative preparation time [d](3.25+0.46), operation times [n](1.00) times, total operation time/min (115.56+22.35), total length of hospital stay [d](10.25+3.48)] was significantly less thantraditional group [d (7.65+0.42),(2.00-1.00),(192.47+17.21) min and (26.32+2.49),d (P <0.05), and limb function after surgery for feeling level [(4.25+0.56) points][significantly higher than the traditional group (1.77+0.34), P <0.05).Receivedfollow-up6~18months, with an average follow-up of12months, skin flap, skin pieceof two group were all survived, not wound healing and skin flap, skin piece of partialnecrosis.Conclusions:Improvement on the external ankle perforators flap in repairing skin andsoft tissure defect hiking back application, significantly reduce the time of preoperativepreparation, operation rate, total time and total time in hospital, etc.; Postoperative limb function, feeling skin flap repair effect is superior to the traditional methods, andchanged the original external ankle perforators flap to the hiking.