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  • Title: [Application of anteromedial thigh perforator flap in repair of soft tissue defects of lower limbs].
    Author: Zheng Y, Wei Z, Li H, Jin W, Deng C, Nie K, Xiao S, Huang G, Wang D.
    Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2019 Dec 15; 33(12):1552-1555. PubMed ID: 31823557.
    Abstract:
    OBJECTIVE: To investigate effectiveness of anteromedial thigh perforator flap in repair of soft tissue defects of lower limbs. METHODS: Between January 2015 and October 2018, 7 patients with soft tissue defects of the lower limbs were repaired with the anteromedial thigh perforator flaps. The patients were males, aged 8-30 years (median, 23 years). There were 5 cases of traffic accident injuries (the time from injury to admission was 1-4 hours, with an average of 1.5 hours), 1 case of scar formation after traffic accident, and 1 case of scar deformity after burn. The defect located in calf in 5 cases, foot in 1 case, and thigh in 1 case. The area of soft tissue defects ranged from 12 cm×4 cm to 21 cm×7 cm; and the area of flaps ranged from 14 cm×5 cm to 24 cm×8 cm. The donor sites were sutured directly. RESULTS: The flaps survived completely after operation in 6 cases, and the wounds healed by the first intention; the partial necrosis of flap occurred and healed after skin graft repair in 1 case. One incision partially ruptured in the donor site and healed after dressing change; the other incisions healed by the first intetion. All patients were followed up 6 months to 2 years with an average of 9 months. Except 1 case complained of edema of the flap, the other patients had good shape, good color, and no swelling. CONCLUSION: For patients with soft tissue defects of lower limbs that cannot be repaired with anterolateral thigh perforator flap, the anteromedial thigh perforator flap can be used for good results. 目的: 总结股前内侧穿支皮瓣修复下肢软组织缺损的疗效。. 方法: 2015 年 1 月—2018 年 10 月，应用股前内侧穿支皮瓣修复 7 例下肢软组织缺损患者。患者均为男性；年龄 8～30 岁，中位年龄 23 岁。其中交通事故伤 5 例，受伤至入院时间 1～4 h，平均 1.5 h；交通事故伤后瘢痕形成 1 例，烧伤后瘢痕畸形 1 例。创面部位：小腿 5 例，足部 1 例，大腿 1 例。创面范围为 12 cm×4 cm～21 cm×7 cm，皮瓣切取范围为 14 cm×5 cm～24 cm×8 cm。供区直接拉拢缝合。. 结果: 术后 6 例皮瓣完全成活，创面Ⅰ期愈合；1 例游离皮瓣部分坏死，行植皮修复后创面愈合。供区 1 例切口部分裂开，经换药后愈合；其余患者切口均Ⅰ期愈合。患者均获随访，随访时间 6 个月～2 年，平均 9 个月。除 1 例诉皮瓣臃肿外，其余患者皮瓣外形、色泽良好，无臃肿。. 结论: 对于不能采用股前外侧穿支皮瓣修复的下肢软组织缺损患者，可选择股前内侧穿支皮瓣，并能获得较好疗效。.
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