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《Medical Journal of National Defending Forces in North China》 2010-02
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Repair of Soft Tissue Defect on Foot and on the 1/3 Lower Part of Inferleg with Cross Leg Flap of Cutaneous Branches of Posterior Tibial Artery of Superior Medial Malleolus

YANG Bo-gui1,LI Chang2,JIA Wei-dou1,ZHAO Ming1(1. Department of Hand and Foot Surgery,the 251st Hospital of PLA,Zhangjiakou,Hebei 075000,China; 2. Department of Micro-Hand and Foot Surgery,the Second Affiliated Hospital of Inner Mongolia Medical College,Inner Mongolia Autonomous Region,Hohhot 010030,China)  
Objective To investigate the clinical therapeutic effects of cross leg flap of cutaneous branches of posterior tibial artery on the part of superior medialmalleolus to repair soft tissue defect on foot and 1/3 lower part of inferleg. Methods Crossleg flap of cutaneous branches of posterior tibial artery on the part of superior medial malleolus was used (March 2005 to July 2007)to repair skin and soft tissue defects of 18 patients on foot and 1/3 lower part of inferleg due to various trauma. Results 28 days after operation,pedicle broke and all flaps took shape. 9 cases were followed up for 6 to 12 months with an average time of 8.5 months. There were no obvious pains and ulcer and there was little trouble in walking and wearing shoes. Conclusion The cross leg flap of cutaneous branches of posterior tibial artery on the part of superior medialmalleolus can improve blood circulation in recipient site without sacrifice of the major arteries.
【CateGory Index】: R658.3
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