{"title":"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。","authors":"Chahine Assi, Wissam Fawaz, Camille Samaha, Moussa Chamoun, Kaissar Yammine","doi":"10.12816/0031526","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Soft tissue defects in the foot\nand ankle region are challenging conditions particularly in\ndiabetic patients. We evaluated the reliability of the sural\nflap in treating such defects among a diabetic population.</p><p><strong>Material and methods: </strong>This is a continuous retrospective\nseries of 14 patients with type 2 diabetes treated with an\nipsilateral sural flap for soft tissue defects around the rear\nfoot (11 cases) and over the malleolar areas (3 cases).\nThree patients had an open tibia fracture (Gustillo IIIb),\nfour had chronic osteitis and seven had a chronic heel\nulcer.</p><p><strong>Results: </strong>The mean follow-up at 28 months showed\nhealing of the flap at a mean of 24 days, donor site healing\nin two weeks, one case of total flap necrosis, three\ncases of skin edge necrosis, two cases of temporary\nvenous congestion and 10 cases of hypoesthesia of the\nlateral border of the foot. No infection or recurrence of\ninfection was encountered.</p><p><strong>Conclusion: </strong>We found the\nsural flap useful, reproducible and reliable in treating soft\ntissue defects in diabetic patients with a low frequency of\nserious complications.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 3","pages":"164-7"},"PeriodicalIF":0.0000,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"SURAL NEURO-CUTANEOUS FLAP IN THE MANAGEMENT OF FOOT AND ANKLE\\nSOFT TISSUE DEFECTS IN A DIABETIC POPULATION.\",\"authors\":\"Chahine Assi, Wissam Fawaz, Camille Samaha, Moussa Chamoun, Kaissar Yammine\",\"doi\":\"10.12816/0031526\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Soft tissue defects in the foot\\nand ankle region are challenging conditions particularly in\\ndiabetic patients. We evaluated the reliability of the sural\\nflap in treating such defects among a diabetic population.</p><p><strong>Material and methods: </strong>This is a continuous retrospective\\nseries of 14 patients with type 2 diabetes treated with an\\nipsilateral sural flap for soft tissue defects around the rear\\nfoot (11 cases) and over the malleolar areas (3 cases).\\nThree patients had an open tibia fracture (Gustillo IIIb),\\nfour had chronic osteitis and seven had a chronic heel\\nulcer.</p><p><strong>Results: </strong>The mean follow-up at 28 months showed\\nhealing of the flap at a mean of 24 days, donor site healing\\nin two weeks, one case of total flap necrosis, three\\ncases of skin edge necrosis, two cases of temporary\\nvenous congestion and 10 cases of hypoesthesia of the\\nlateral border of the foot. No infection or recurrence of\\ninfection was encountered.</p><p><strong>Conclusion: </strong>We found the\\nsural flap useful, reproducible and reliable in treating soft\\ntissue defects in diabetic patients with a low frequency of\\nserious complications.</p>\",\"PeriodicalId\":430072,\"journal\":{\"name\":\"Le Journal médical libanais. The Lebanese medical journal\",\"volume\":\"64 3\",\"pages\":\"164-7\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Le Journal médical libanais. The Lebanese medical journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.12816/0031526\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Le Journal médical libanais. The Lebanese medical journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12816/0031526","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
SURAL NEURO-CUTANEOUS FLAP IN THE MANAGEMENT OF FOOT AND ANKLE
SOFT TISSUE DEFECTS IN A DIABETIC POPULATION.
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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