scholarly journals Clinical application of retrograde sural neurofasciocutaneous flap repair combined with jingulian capsules to treat foot and ankle soft tissue defects

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Zhiwei Hao ◽  
Shan Tian ◽  
Changqing Hu ◽  
Yan Jia
Keyword(s):  
Soft Tissue ◽  
Clinical Application ◽  
Reference Group ◽  
Antibiotic Use ◽  
Study Group ◽  
Foot And Ankle ◽  
Soft Tissue Defects ◽  
Creative Commons ◽  
Flap Repair ◽  
Tissue Defects

Objectives: To observe and analyse the efficacy of retrograde sural neurofasciocutaneous flap repair combined with Jingulian capsules to treat foot and ankle soft tissue defects. Methods: One hundred and eighty patients with foot and ankle soft tissue defects were enrolled in the study from January 2016 to June 2019 in The Second Department of General Surgery,Baoding First Central Hospital. They were divided into a study group and a reference group with the same case number. The former group was provided combination treatment, i.e. retrograde sural neurofasciocutaneous flap repair combined with Jingulian capsules; the latter group was given vacuum sealing drainage. Then, the treatment outcomes of the two groups were compared. Results: The study group needed fewer dressing changes, less preoperative preparation time and antibiotic use than the reference group, p<0.05. The study group had a significantly lower incidence of wound infections and flap necrosis than the reference group, p<0.05. The study group was significantly superior to the reference group regarding ankle function scores and the pain visual analogue scores (VAS) p<0.05. Conclusions: Retrograde sural neurofasciocutaneous flap repair combined with Jingulian capsules is a protocol that improves efficacy for soft tissue defects in the foot and ankle, which are worthy of promotion and practice. doi: https://doi.org/10.12669/pjms.38.1.4546 How to cite this:Hao Z, Tian S, Hu C, Jia Y. Clinical application of retrograde sural neurofasciocutaneous flap repair combined with jingulian capsules to treat foot and ankle soft tissue defects. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4546 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Treatment for Traumatic Skin and Soft Tissue Defects around the Foot and Ankle

2012 ◽  
Vol 61 (2) ◽  
pp. 261-264
Author(s):  
Sanshiro Inoue ◽  
Kosei Miyazaki ◽  
Naoshi Kikuchi ◽  
Takashi Inokuchi ◽  
Tomonori Nakanishi ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Foot And Ankle ◽  
Soft Tissue Defects ◽  
Tissue Defects

Preliminary Experience with Perforator Flaps in Reconstruction of Soft-Tissue Defects of the Foot and Ankle

2005 ◽  
Vol 26 (3) ◽  
pp. 191-197 ◽  
Author(s):  
Frederick J. Duffy ◽  
James W. Brodsky ◽  
Christian T. Royer
Keyword(s):  
Soft Tissue ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Tissue Loss ◽  
Soft Tissue Reconstruction ◽  
Foot And Ankle ◽  
Soft Tissue Defects ◽  
Perforator Flaps ◽  
Microsurgical Reconstruction ◽  
Tissue Defects

Background: Microsurgical reconstruction has improved limb salvage in patients who because of many etiologies have soft-tissue loss from the lower extremities. Free-tissue transfer to the foot and ankle often interferes with postoperative function and footwear because of the bulk of a muscle flap. The foot and ankle often are best treated using thin flaps that will not contract and fibrose, particularly if secondary procedures are required. We hypothesized that perforator flaps, which are thin free-tissue transfers consisting of skin and subcutaneous tissue, both diminish donor site morbidity and are ideally suited for soft-tissue reconstruction of the foot and ankle. Methods: Ten patients had free- tissue transfers to the foot and ankle using perforator flaps during a 2-year period. Four had acute posttraumatic wounds, three had soft tissue defects with exposed hardware or bone graft after reconstructive surgery, and three had large soft-tissue defects after foot infection secondary to diabetes. Nine had reconstruction with anterolateral thigh perforator flaps and one had reconstruction with a deep inferior epigastric artery (DIEP) perforator flap. Results: All flaps survived. There were no deep infections. Three flaps had minor tissue loss requiring subsequent small skin grafts, all of which healed. There were no donor site complications and no interference of muscle function at the donor sites. Custom shoewear was not required to accommodate the flaps. Conclusion: This series highlights the success and utility of perforator flaps in microsurgical reconstruction of the foot and ankle. The greatest advantage of perforator flaps is the diminished donor site morbidity, which was achieved while maintaining high microsurgical success rates. These skin and fat flaps remained pliable and contracted less than muscle flaps, allowing for smooth tendon gliding and easy flap elevation for secondary orthopaedic procedures.

Soft Tissue Defects of the Foot and Ankle

2013 ◽  
Vol 6 (1) ◽  
pp. 59-64
Author(s):  
Christopher Attinger ◽  
Byron Hutchinson ◽  
Peter A. Blume ◽  
Stephen A. Mariash ◽  
John M. Schuberth
Keyword(s):  
Soft Tissue ◽  
Foot And Ankle ◽  
Soft Tissue Defects ◽  
Tissue Defects

scholarly journals Double-pedicle propeller flap for reconstruction of the foot and ankle: anatomical study and clinical applications

2019 ◽  
Vol 47 (10) ◽  
pp. 4775-4786 ◽  
Author(s):  
Jianxiong Zheng ◽  
Hua Liao ◽  
Jie Li ◽  
Lingjian Zhuo ◽  
Gaohong Ren ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Blood Supply ◽  
Sural Nerve ◽  
Anatomical Study ◽  
Peroneal Artery ◽  
Foot And Ankle ◽  
Soft Tissue Defects ◽  
Nerve Bundle ◽  
Propeller Flap ◽  
Tissue Defects

Objective Reconstruction of soft tissue defects in the foot and ankle remains challenging. This study was performed to investigate the technical points and clinical effects of a double-pedicle propeller flap for repair of foot and ankle soft tissue defects. Methods We used five fresh calf specimens to investigate the anatomical and operative aspects of a double-pedicle propeller flap. Eighteen patients with soft tissue defects in the foot and ankle subsequently underwent defect repair with double-pedicle propeller flaps. Results The anatomical study showed that the peroneal artery perforators and the sural nerve bundle (two blood supply systems) provided the theoretical anatomical basis for the double-pedicle propeller flap. The relative positions of the peroneal artery perforators and the sural nerve bundle differ according to the peroneal artery perforating level. Flap rotation in different directions can reduce or prevent the pedicles from compressing each other. All flaps survived, and three flaps developed local epidermal necrosis at the proximal end; these flaps healed after 1 to 2 weeks of dressing changes. The other 15 patients healed well. Conclusions The double-pedicle propeller flap can enhance the blood supply and venous return in the “big paddle” region of the flap, reducing the distal necrosis rate.

The Coverage of Soft-Tissue Defects Around the Foot and Ankle Using Free or Local Flaps

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kaizong Yuan ◽  
Feng Zhang ◽  
William C. Lineaweaver ◽  
Xinglong Chen ◽  
Zhijie Li ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Local Flaps ◽  
Foot And Ankle ◽  
Soft Tissue Defects ◽  
Tissue Defects
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