Sensory Disturbance of the Lower Extremity after Sural Artery Flap Elevation.

IF 1.2 Q3 ORTHOPEDICS
Advances in Orthopedics Pub Date : 2021-02-13 eCollection Date: 2021-01-01 DOI:10.1155/2021/8886063
Kaoru Tada, Seigo Suganuma, Mika Nakada, Masashi Matsuta, Atsuro Murai, Hiroyuki Tsuchiya
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引用次数: 0

Abstract

Purpose: Elevation of the sural artery flap with the sural nerve is associated with donor-site morbidities, such as postoperative sensory disturbance of the lower extremity. We evaluated the sensory disturbance of the lower extremity after elevation of the sural artery flap.

Methods: This study included 7 patients who underwent surgery using the sural artery flap. The sensory disturbances immediately after surgery and at present were evaluated on a 10-point scale. The influences of surgery on activities of daily living and patient satisfaction were also evaluated.

Results: The sensory disturbance was 4.48 immediately after surgery and 2.24 presently, and the difference between the timepoints was not statistically significant. The influence of surgery on activities of daily living was 2.30, and the patient satisfaction was 7.90.

Conclusion: It may be necessary to consider the sural artery flap, which does not include the sural nerve, to avoid unnecessary complications. When it is unavoidable to use the sural artery flap, including the sural nerve, it is important to thoroughly inform patients beforehand about the postsurgery sensory disturbance in the lower extremities.

腓肠动脉瓣抬高后下肢感觉障碍。
目的:带腓肠神经的腓肠动脉瓣抬高与供区并发症有关,如术后下肢感觉障碍。我们评估腓肠动脉瓣抬高后下肢感觉障碍。方法:本研究包括7例采用腓肠动脉皮瓣手术的患者。手术后立即和目前的感觉障碍以10分制进行评估。评估手术对日常生活活动及患者满意度的影响。结果:术后即刻感觉障碍为4.48分,术后即刻感觉障碍为2.24分,两组间差异无统计学意义。手术对日常生活活动的影响为2.30分,患者满意度为7.90分。结论:为避免不必要的并发症,有必要考虑不包括腓肠神经的腓肠动脉皮瓣。当不可避免地使用腓肠动脉皮瓣,包括腓肠神经皮瓣时,必须事先充分告知患者术后下肢感觉障碍的情况。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
36
审稿时长
21 weeks
期刊介绍: Advances in Orthopedics is a peer-reviewed, Open Access journal that provides a forum for orthopaedics working on improving the quality of orthopedic health care. The journal publishes original research articles, review articles, and clinical studies related to arthroplasty, hand surgery, limb reconstruction, pediatric orthopaedics, sports medicine, trauma, spinal deformities, and orthopaedic oncology.
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