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《Journal of Baotou Medical College》 2010-02
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Clinical Application of the Calf Skin Flap

BAI Zhigang,LI Chang,NIE Jiping (Department of Microscopic Surgery,The Second Affiliated Hospital,Inner Mongolia Medical College,Huhhot 010030,China)  
Objective:To investigate the treatment strategy for reparation of the soft tissue defects of ankle foot with sural nerve nutrition blood vessel flap in the small leg and the posterior tibial artery flap.Methods: From 2001 to 2009,98 cases of anterior tibial and soft tissue defects of ankle were repaired with the calf skin artery skin flap,of which there were 25 cases with sural neurovascular flap,55 cases with posterior tibial artery ankle epithelial flap,18 cases with bridge type posterior tibial artery flap and 2 cases with the transplantation of two kinds of flap.Results: 98 cases of flaps all survived well and most of the patients resumed protective sensation,with a 1-8 year follow-up.Conclusion: The sural nerve nutrition blood vessel flap in the small leg and the posterior tibial artery flap are ideal flaps for repairing ankle skin and soft tissue defect of anterior tibia.The key of this method is to find and protect the skin cutaneous branches of arteries,reasonably determine the scope,retain a certain degree of deep fascia and avoid flap and pedicle flap tension.
【Fund】: 内蒙古自治区自然科学基金(NY2003ZD009)
【CateGory Index】: R658.3
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