• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Jul 2000

    [Surgical intervention in the treatment of skin defect of hell].

    • J L Liu, W P Zhang, and Z C Wang.
    • Department of Orthopedic Surgery, Norman Bethune National Peace Hospital, Shijiazhuang, Hebei, P. R. China 050082.
    • Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2000 Jul 1;14(4):232-3.

    ObjectiveTo investigate the efficacy of different flaps in the treatment of skin defect of hell.MethodsForty-six patients with skin defect of hell were adopted in this study. There were 39 males and 7 females, 29 years old in average. Six different flaps were applied in the reconstructive operation, 14 plantaris medialis flaps, 4 flexor digitorum brevis muscle flaps, 3 abductor hallucis flaps, 7 latissimus dorsi flaps, 16 distal medialis flaps of leg pedicled with the cutaneous branch of posterior fibial artery, 2 foot dorsum flaps.ResultsAll the flaps survived, primary healing of the wound in 45 cases and secondary healing in 1 case. Followed up for 3 months to 4 years, 43 patients obtained good flap sensation, the function of weight bearing were satisfied in 43 patients.ConclusionThe six different flaps should be applied according to patient's condition individually. The sensation of flap is very important to the function of weight bearing.

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