SURAL NEURO-CUTANEOUS FLAP IN THE MANAGEMENT OF FOOT AND ANKLE SOFT TISSUE DEFECTS IN A DIABETIC POPULATION.

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2016-07-01 DOI:10.12816/0031526

Chahine Assi, Wissam Fawaz, Camille Samaha, Moussa Chamoun, Kaissar Yammine

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引用次数: 3

Abstract

Background: Soft tissue defects in the foot and ankle region are challenging conditions particularly in diabetic patients. We evaluated the reliability of the sural flap in treating such defects among a diabetic population.

Material and methods: This is a continuous retrospective series of 14 patients with type 2 diabetes treated with an ipsilateral sural flap for soft tissue defects around the rear foot (11 cases) and over the malleolar areas (3 cases). Three patients had an open tibia fracture (Gustillo IIIb), four had chronic osteitis and seven had a chronic heel ulcer.

Results: The mean follow-up at 28 months showed healing of the flap at a mean of 24 days, donor site healing in two weeks, one case of total flap necrosis, three cases of skin edge necrosis, two cases of temporary venous congestion and 10 cases of hypoesthesia of the lateral border of the foot. No infection or recurrence of infection was encountered.

Conclusion: We found the sural flap useful, reproducible and reliable in treating soft tissue defects in diabetic patients with a low frequency of serious complications.

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腓肠神经皮瓣在治疗糖尿病患者足及踝软组织缺损中的应用。

背景:足部和踝关节区域的软组织缺损是具有挑战性的条件，特别是糖尿病患者。我们评估了suralflap在糖尿病人群中治疗此类缺陷的可靠性。材料和方法:本研究对14例2型糖尿病患者进行连续回顾性分析，采用侧腓肠皮瓣治疗后足周围(11例)和踝区(3例)软组织缺损。3名患者有开放性胫骨骨折(Gustillo IIIb)， 4名患者有慢性骨炎，7名患者有慢性脚跟溃疡。结果:随访28个月，皮瓣愈合平均24天，供区愈合2周，皮瓣全坏死1例，皮缘坏死3例，暂时性静脉充血2例，足外侧缘感觉减退10例。无感染及复发。结论:皮瓣治疗糖尿病患者软组织缺损效果好，重复性好，并发症发生率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Le Journal médical libanais. The Lebanese medical journal

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