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Objective: To collect clinical data to explore the ankle weeks skin and soft tissue defects the flap of clinical efficacy and experience , to improve the survival rate and ankle trauma repair . Methods : from March 2000 to December 2009 , the application of adjacent non - main vessel pedicle flap to repair the skin and soft tissue defects of the ankle weeks 104 cases , 69 cases were male and 35 female , aged 5-72 years old . Site of injury : ankle former zone of 33 cases , 20 cases of the Achilles tendon area , 19 cases of heel , the medial malleolus District 18 , the lateral malleolus District 14 . The causes of injury : road accident in 42 cases , the weights crushed the 23 cases , 10 cases of chronic ulcers , severe varicose veins 8 cases , burns six cases , osteomyelitis in four cases , wheel twist injuring three cases , chainsaw injury in 4 cases , firearm injuries three cases , the skin, subcutaneous hemangioma . Select adjacent retrograde sural nerve , saphenous neurocutaneous vascular flap , flap, posterior tibial artery perforator pedicle flap , the foot thigh flap , medial plantar flap on the medial malleolus transfer wound repair , wound The maximum size is 16.0cm x 11.0cm , the smallest is 2.0cm x 1.5cm flap smallest is 3.0cm × 18.0cm × 12.0cm, 2.5cm . Results of all the 104 cases , 88 flaps survived , 16 cases of some or all of necrosis , 13 cases of distal small part of necrosis , five cases of partial flap repair , three cases of granulation tissue after skin grafting , two cases of muscle flap repair; 2 cases of chronic osteomyelitis by dressing , anti-inflammatory, wound healing ; cases of hemorrhage caused by wound dehiscence , wound gradually healed after changing dressing ; complete necrosis of the three cases , two cases further local flap transfer , cross The leg flap one cases . Conclusion the Ankle weeks skin and soft tissue defects the application nonbackbone vascular flap repair optimization options , adjacent transfer easy and convenient , less tissue damage , does not damage the main vessel , and does not affect the blood supply of the limb , blood circulation and reliable , high success rate , physical comfort , acceptable high , easy to operate , and equipment less demanding , broad indications , advantages , can speed up the process of healing , and quickly restore the integrity of the skin and soft tissue and bone and joint .
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