A Clinical Study Of The Ways To Repair The Ankle Week Skin And Soft Tissure Defect Transferred The Adjacent Flap With Non-main Vessel Pedicle

Objective:Through collect clinical case materials, to explore the way to repair the ankle weeks skin and soft tissure defect transferred the adjacent flap with non-main vessel pedicle of clinical curative effect and experience that repair week such as ankle, improve the flap survival rate and the level of the ankle injuery repair.Method:In March,2000～2009 years in December, the application was close to the non-branch blood vessel Tippy petal repair ankle week soft tissue to damage 104 examples, In which male 69 examples, female 35 examples, age 5～72 years old.Damage spot:Ankle proparea 33 examples, Achilles tendon area 20 examples, heel 19 examples,protuberance of the ankle area 18examples, protuberance of the ankle bone area 14 examples. Wounds the reason:The traffic accident wound 42examples, the heavy item crushes 23 examples, the chronic ulcer 10examples, the serious varicosity 8 examples, scald 6 examples, the osteomyelitis 4 examples, the power saw wound 4 examples, the wheel twist the wound 3 examples, the firearm wound 3 examples, the skin hypodermic angioma 1 example. After the choice neighbor fei the intestines nerve, nervus saphenus nutrition blood vessel flap, the protuberance of the ankle fascia flap, the shin the artery puts on the Tippy petal, the musculus soleus myo-petal, the fibula short myo-petal, foot flank Flap, shifts and so on full bottom inside flap repairs the injured area, the injured area size most greatly for 16.0cm×11.0cm, slightly for 2.0cm×1.5cm, shifts flap greatly for 18.0cm×12.0cm, slightly for 3.0cmx2.5cm.ResuIt:In all 104 examples,88 example flap survives,16 examples partial or complete necroses,13 example far-end little partial necroses,5 example partial flap shift repair, after 3 example granulation tissue grows grafts skin the repair,2 example myo-petal shift repair; Because 2 examples the chronic osteomyelitis after trades the medicine, the anti-inflammation injured area cicatrization;1 example hematoceles send the wound to split, after trades the medicine, the wound heals gradually; The complete necrosis 3 examples, the partial flap shifts 2 examples again, hands over the leg flap to shift 1 example.Conclusion:The ankle week soft tissue damage flap applies the non-branch blood vessel flap shift repair the optimized choice plan, near transfer,easy and convenient,and less tissue damage,no major vascular injury,without affecting the body's blood supply,blood circulation and reliable,high success rate,physical comfort,acceptable high,simple,device ask for much,broad indicationgs etc,may speed up the treatment advancement, restores the skin soft tissue and the bone integrity.