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Study on Different Types of skin Flap Transplantation to Repair Forefoot Damaged Injury

Chinese Journal of Plastic and Reconstructive Surgery 2019年第4期1卷 36-40页

作者： Jian-yun XU Xin-lei YANG Bao-kai CAI Jin-hu LI Department of Burn and Plastic Surgery 174 Hospital of the Chinese People’s Liberation ArmyXiamen cityFujian Province361000China

Objective To investigate the clinical effect of different types of skin flap transplantation in repairing forefoot *** From January 2016 to June 2019,62 patients with forefoot damage were selected and their clinical data were retrospectively *** the selected patients received skin flap transplantation and repair,of which 26 patients received free myocutaneous flap transplantation and repair,and were treated as group *** other 36 patients underwent retrograde foot flap transplantation and *** were taken as group B,and the clinical treatment methods and curative effects were *** Among the 26 patients in group A,the skin flaps of 21 patients survived completely,while those of the other 5 patients showed partial necrosis at the edge of the skin *** were treated with free skin grafting and healed after regular dressing *** the skin flaps ***-up for at least 6 months showed that 11 patients had mild claudication and skin flap sensation was slightly *** the 36 patients in group B,only 2 cases suffered from distal partial necrosis after the operation,which was caused by large tension after dorsum pedis flap *** systematic treatment and regular dressing change by doctors,the flaps of 2 patients *** addition,venous reflux disorder occurred in 3 patients with medial saphenous nerve nutrient vessel flap of the foot,which was related to swelling *** flaps of other patients survived,healed well and did not show infection *** According to the actual condition of patients with forefoot damage,the flap repair method is formulated,which has good short-term and long-term therapeutic effects and plays an important role in repairing forefoot damage.

关键词： skin flap transplantation forefoot lesion Flap necrosis free skin grafting

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