Modified retrograde sural neurofasciocutaneous flap for treating the soft tissue defect of ankle
PAN Jing-shun
LIU Sheng-he
Abstract：Objective To evaluate the clinical effect of modified retrograde sural neurofasciocutaneous flap for treating the soft tissue defect of ankle .Methods From Mar.2010 to Mar.2014,13 cases of soft tissue defect at the lower leg and ankle were repaired with retrograde sural neurofasciocutaneous flap modified by harvesting a patch of gastrocnemius muscle simultaneously .The flap rotation point was 5 cm superior to the external ankle and the ac-curate location was adjusted according to the size of the wound and the distance to the far end .The width of the fas-cial pedicle was 3 to 5 cm including the sural nerve and small saphenous vein into the flap ,with an open tunnel for the transferred fascial pedicle .Results All of the 13 cases were followed up for 6-24 months,11 cases survived to-tally ,and 2 cases had partial necrosis at the distal part ,which healed secondarily after dressing change .All the flaps had good quality ,satisfactory appearance ,and the defects with infection were cured without recurrence .Conclusion Modified retrograde sural neurofasciocutaneous flap is a favourable choice for soft tissue defect in lower leg and ankle for its reliable blood supply ,strong anti-infection ability ,good appearance and easy operation .
Keywords：tissue defectanklesuralnerve neurotrophicflaprepair
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 214-216 )