Objective: To the far end sural nerve fascia’s flap in the leg and ankledepartment repair skin and soft tissure defect of surgical method and clinical curativeeffect, follow-up flap healing with the patient’s body function, to further improve theclinical curative effect, provide the corresponding theory and clinical evidenceMethods:2006to2011in our hospital for distal sural nerve’s fascia flap transfercalf and his ankle surgery to repair the skin and soft tissure defect of32patients,among them,17were male, female in15cases, age:19to60years old, send injurymechanism: car accident injury in13, infection,9cases by heavy pressure in6, sharpinstrument injury3cases. Followed up for6~12months, their clinical curative effectfor research.Results: All patients were wound healing,27cases of skin flap survivalcompletely,4cases of skin flap distal necrosis, but subcutaneous all have granulationgrowth,3patients with healing after changeover, and1case of the thick skin grafthealing;1cases of skin flap necrosis completely.The leg wound into skin flap withsuccess. Follow-up time at least6months above, walk patients with normal gait, noflap necrosis, no burst, flap wear-resisting.Conclusion: Distal sural nerve fascia’s flap in the repair skin and soft tissuredefect of calf ankle with good clinical effect, worth in the clinical treatment of thepromotion. |